MIPPA (Medicare Improvement for Patients and Providers Act) removed the screening electrocardiogram (EKG) as a mandatory service of the IPPE Education, counseling, and referral for an EKG, as appropriate. This is a once-in-a-lifetime screening EKG as a result of a referral from an IPPE ...
Example: A patient reports for pulmonary function testing in the morning and then attends the hypertension clinic in the afternoon. The pulmonary function tests are reported without an E/M service code. However, an E/M service code with the modifier –25 appended should be reported to indicate ...