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modifier 25 - separate E/M was performed

  1. #1
    Default modifier 25 - separate E/M was performed
    Medical Coding Books
    I am having a tough time finding an answer to this question. I hope someone can help!! We are billing for a practice where the physical therapy was performed by a PT and a separate E/M was performed on the same date by a physician. Do we add modifier 25 since it's the same facility? Or, does modifier not apply because it's not the same physican? Any help would be greatly appreciated.


  2. Default
    I don't think the modifier applies since the physical therapist did not do an E/M they just did the pt. The -25 only applies if a separate E/M is done by the same physician in conjunction with another service for a different problem.

  3. #3
    That is how I interpreted the use of modifier 25. Thank you very much, I will see if I can convince my office of that!!

    Thanks again!

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