CodingQuestion 12 of 100
Modifier 25 is most appropriately used to report:
a.A staged or planned return to the operating room
b.A bilateral procedure performed on paired organs
c.A repeat laboratory test on the same day
d.A significant, separately identifiable E/M service by the same provider on the same day as another procedure
Explanation
Modifier 25 tells the payer that on the day a minor procedure was performed, the provider also delivered a distinct, medically necessary evaluation and management service beyond the usual pre- and post-procedure work. Documentation must clearly support the separate E/M service. Misuse of modifier 25 is a common audit target.
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Related questions on this topic
- HCPCS Level II codes are chiefly used to report:
- A modifier appended to a CPT code is used to:
- Modifier 26 is appended to a diagnostic service to indicate that only the:
- Three key components historically used to determine the level of an evaluation and management (E/M) service are:
- When selecting an office E/M visit level by time under current guidelines, the coder should count:
- In coding, 'medical necessity' generally means that a service is:
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