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Thread: Modifiers in the ED

  1. #1
    Join Date
    Apr 2007
    Flower City Professional Coders

    Default Modifiers in the ED

    AAPC: Back to School
    I needs some help??? I have experience in Hospital ED coding, whereby I was coding both the pro and tech side. We always appended the 25 modifier to the tech side e/m level, when a suture was performed.
    I am now coding just the pro side for e/r physicians and hospitalists. Could you please explain why I would put the 25 mod on the pro side?

    Thanks in advance,

    Maria Kast, RHIT

  2. #2


    I was taught to use Modifier -25 on the E&M when the procedure has any global days.

    Physicians and qualified nonphysician practitioners (NPP) should use CPT modifier -25 to designate a significant, separately identifiable E/M service provided by the same physician/qualified NPP to the same patient on the same day as another procedure or other service with a global fee period.

    Article here.

    Another one here.

    I hope this helps.


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