Coding第 12 / 100 题

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

解析

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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