Additional Use of Modifier 25
Providers may use Modifier 25 in one other rare situation:
- The Evaluation and Management (E/M) service occurs on the day before a major procedure (090 days postoperative days on the Medicare Physician Fee Schedule Relative Value File);
- The E/M is not the decision for the major procedure; and
- The E/M is significant and separately identifiable from what would be included in the procedure.
Page Last Updated: Wednesday, 30-Dec-2009 10:43:24 CST
