AAPC - Back to school
Results 1 to 2 of 2

Thread: 25 mod or no?

  1. #1

    Default 25 mod or no?

    AAPC: Back to School
    25 modifier with office visit and ekg or no?

    i cant find any source that says yes or no.

  2. #2
    Join Date
    Apr 2007


    Modifier 25 is used when E/Ms are billed with procedures that have a global day assignment because those codes have an E/M component built into them. By using the modifier, you are saying that there was more evaluation and managment done that was above and beyond and separately identifiable from the E/M of the procedure. The EKG codes don't have any global day assignment (they have XXX meaning the global day concept doesn't apply) therefore, you shouldn't need a 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

Similar Threads

  1. Mod 51 vs Mod 59 for ASC use
    By Tracy592 in forum Modifiers
    Replies: 3
    Last Post: 07-08-2015, 12:49 PM
  2. mod 62 denied can I use mod 80?
    By fisher.jaimie@gmail.com in forum Modifiers
    Replies: 6
    Last Post: 05-18-2015, 05:27 AM
  3. Mod 25
    By dpumford in forum Modifiers
    Replies: 2
    Last Post: 09-06-2011, 11:08 AM
  4. mod 25 - Can anyone shed some light on this
    By iovine in forum Billing/Reimbursement
    Replies: 4
    Last Post: 08-26-2011, 06:32 AM
  5. mod 25 & mod 59 with a 94664 (inhaler)
    By jsa1517 in forum Modifiers
    Replies: 2
    Last Post: 01-29-2010, 02:46 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.