the visit is considered separately reportable. Again, the same diagnosis can be used for both the office visit and the procedure; a separate “procedure” report or paragraph for the injection is recommended
* If the E/M service is related to the decision to perform a major procedure (90-day global), modifier 25 is not appropriate. The correct modifier is modifier 57, decision for surgery. * When determining the level of visit to bill when modifier 25 is used, physicians should consider only...
In this article, we will be discussing wrong modifier combinations for modifier 59 (Distinct procedural service). The 59 modifier is one of the most misused modifiers. The most common reason it should be used is to indicate that two or more procedures were performed at the same visit but to...