Coding, Chart Documentation and Reimbursement - Thurston ...
Coding, Chart Documentation and Reimbursement - Thurston ...
Coding, Chart Documentation and Reimbursement - Thurston ...
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<strong>Coding</strong>, <strong>Chart</strong> <strong>Documentation</strong> <strong>and</strong><br />
<strong>Reimbursement</strong><br />
• Modifier 25 - Significant, separately<br />
identifiable Evaluation <strong>and</strong> Management<br />
(E/M) Red Flags<br />
<strong>Documentation</strong> does not support the need for or<br />
performance of a separate E/M service that<br />
meets the definition of modifier 25.<br />
<strong>Documentation</strong> suggests the clinician performed<br />
an pre-op evaluation but used modifier 25 to bill<br />
a separate E/M service.<br />
Make sure modifier 25 isn’t being used when<br />
another more appropriate modifier, such as<br />
modifier 57 (decision for surgery) applies.<br />
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