AAPC - Back to school
Results 1 to 2 of 2

Thread: Modifier 25 and ER Visits

  1. #1

    Default Modifier 25 and ER Visits

    AAPC: Back to School
    Can anyone point me to the regs for Medicare that govern the use of Modifier 25 with regard to ER visits? I have been out of the coding research business for awhile.

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    I am not sure what you are looking for. You need a 25 modifier for any visit ER included when a procedure is performed in the course of the encounter. The same is true for facility, except that facility has a minor twist, if a procedure is performed in any encounter for the day any visit ER or otherwise must have a 25 modifier to be reimbursed. Of course presuming the visit qualifies for a 25 modifier.

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. Modifier for two visits on same day
    By SoundarR in forum Modifiers
    Replies: 30
    Last Post: 10-14-2015, 02:08 PM
  2. Modifier 25 on Preventive Visits
    By JCampbell in forum Family Practice
    Replies: 1
    Last Post: 06-16-2015, 01:55 PM
  3. Crosswalking new pt visits to estab visits
    By LBJ in forum Compliance General Discussion
    Replies: 1
    Last Post: 08-10-2011, 04:59 PM
  4. Replies: 4
    Last Post: 03-01-2010, 06:10 PM
  5. Yearly visits and E&M visits New Patient
    By jlv1980 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 08-12-2009, 07:38 AM

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.