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.
* 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...
Note that Modifier 25 is not used to report an E/M service that resulted in a decision to perform surgery, you might use Modifier 57. For significant, separately identifiable non-E/M services on the same day, you might use Modifier 59. Coding Guidelines for Modifier 25 Modifier 25 can be...