it allows the use of the appropriate modifier (category 1) with appropriate supporting documentation. Currently, NCCI allows the use of modifier -25 for an E/M service provided on the same day as an intravitreal injection.
Modifier-25 is used for an unrelated evaluation and management (E/M) by the same provider or other qualified health care professional that is a significant, separately identifiable services performed on the same day as another procedure or service. The physician must show, by documentation in the...
No additional documentation is required with the claim. Supporting documentation must be maintained in the patient's medical record. The documentation must substantiate that the surgeries are related and that the subsequent surgery required a return to the operating room. ...