AAPC - Back to school
Results 1 to 2 of 2

Thread: Help with -25

  1. #1

    Default Help with -25

    AAPC: Back to School
    I was recently told by my MRA that -25 can only be used for certain procedure codes with an S or T status if it meets the definition description for modifier 25. I use the CPT Professional edition which does not have code status listed and was advised to order the CPT Expert. Can anyone tell me if is true, I can only use -25 on procedures with an S or T status? Thanks

  2. #2
    Join Date
    Apr 2007

    Default Modifier 25

    Check out this


    The use of modifier 25 on E/M codes is required by the Outpatient Code Editor (OCE) when they are reported with a procedure code that has a status indicator of “S” or “T”. However, it is further advised that this edit does not preclude the reporting of modifier 25 on E/M codes that are reported with procedure codes when the status indicators are other than “S” or “T” if that procedure meets the definition of “significant, separately identifiable E/M service

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.