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Thread: E/M Level with additional procedure

  1. #1

    Default E/M Level with additional procedure

    AAPC: Back to School
    Should an E and M level be reduced when adding modifier 25 and performing additional procedure in the Emergency Room? I am coding for the physician's services. The situation would be the initial splinting of a fracture after diagnosing the fracture in the ER.

    Thanks for your help.

  2. #2
    Join Date
    Apr 2007


    The E/M level is chosen based on the separately identifiable evaluation and management service that is provided in addition to the procedure and related services, so it wouldn't need to be reduced when adding the 25 modifier.
    Pam Tienter, CPC, COC, CPC-P, CCS-P, CPMA, CPC-I
    AHIMA Approved ICD-10-CM/PCS Trainer
    AAPC National ICD-10-CM Trainer

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