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25 Modifier for Moderate sedation

  1. Default 25 Modifier for Moderate sedation
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    Hi
    Is it nesseccery to append 25 modifier with E/M when ER MD performs Moderate sedation in Emergency department setting?
    Yesjeek

  2. Default
    Hello,
    It is better to append 25 modifier always for any additional separately identifiable service done, after the E and M code.

  3. #3
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    Jacksonville, Florida - 90417
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    Default
    Hi,

    Why is moderate sedation being performed? Is there a procedure being performed in addition to the E&M?

    -Maryann

  4. Default
    If moderate sedation is being done, there must be a procedure being performed. If a separate, significant px is being done, yes, it would be appropriate to append the -25 to the E/M code in the ED setting.

  5. Default
    Quote Originally Posted by shelia_j View Post
    If moderate sedation is being done, there must be a procedure being performed. If a separate, significant px is being done, yes, it would be appropriate to append the -25 to the E/M code in the ED setting.
    what if there is no other px done with the moderate sedation? Dr just sedated the child so he could do some work up. do u still need to put mod 25?

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