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Thread: Modifier 25

  1. #1
    Join Date
    Apr 2007
    Richmond, VA

    Default Modifier 25

    AAPC: Back to School
    I was recently told that you had to have a seperate note to use the modifier 25?? My coworker and myself agree that as long as the work is documented there is no need for a seperate note. I've done some research and I have not found anything that says a seperate note is necessary but I wanted a second opinion.
    Any advice would be greatly appreciated.

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    I have always found it necessary to have the procedure documented as a separate paragraph in the note. Otherwise the carrier informs me that the elements of the 25 modifier has not been met.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3

    Smile Modifier 25

    As long as there is a documented description of the procedure by the same physician that performed the E&M you should be able to use modifier 25 with the E&M code.

    Cindy Spuches

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