Mar 25, 2022 · Modifier 25 indicates that additional reimbursement is needed to account for the extra E/M work. The key is recognizing when the additional work is “significant” and, therefore, additionally …

Understand when to use modifier 25 so that you are paid correctly as well as how it affects the new add-on code G2211.

Modifier 25, Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other …

Use modifier 25 with the appropriate level of E/M service. Modifier 25 indicates on the day of a procedure, the patient's condition required a significant, separately identifiable E/M service, above …

Use to indicate that an E/M service was provided on same day as another procedure that would normally bundle under National Correct Coding Initiative (NCCI). In this situation, this modifier …

When you submit a claim to the insurance carrier that is coded with a 25 Modifier, you are telling the carrier to pay you for both the E/M visit and the minor procedure. Often in the past claims with both …

Dec 9, 2025 · Modifier 25 indicates that a significant, separately identifiable E/M service was performed by the same physician on the same day as another procedure.

Bundled Services Missing Appropriate Modifiers at Time of Initial Claim Submission Clarification for Billing Services on Fingers and Toes Using Modifiers F1-F9, FA, T1-T9 and TA vs. Modifier 50 …

Both the medically necessary E/M service and the procedure must be appropriately and sufficiently documented in the patient's medical record to support the claim for these services. This …

Jul 6, 2024 · Modifier 25 is applied when an E/M service provided by a physician or QHP on the same date as another procedure or service is significant and separately identifiable.