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Use of Modifier 25

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Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service

Definition: Modifier 25 is used to identify E/M (Evaluation and Management)services as separate from another service performed on the same day by the same provider.

Use when: In addition to HCPCS/CPT codes, add the 25 modifier to the correct level of E/M service when the billing claim form indicates two or more on the same date of service by the same provider.

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