For purposes of this policy same Individual Physician or other Health Care Professional is the same individual rendering health care services reporting the sameFederal Tax Identification number. Modifiers are two digit indicators (alpha or numeric) that represent a service or procedure that has been al...
Modifier 33 may also be used when a patient is provided with multiple preventiveMedical Billing Servicesby his or her physician the same day, where the modifier 33 is used to describe the preventive services carried out for the particular day. FAQs 1.When should Modifier 32...
and the physician or other qualified healthcare provider also codes for the cardiovascular stress test (93015). Modifier 25 is added to the E/M visit to indicate a separately identifiable E/M on the same day of a procedure.
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...
The CPT definition of modifier -25 is” Significant, separately identifiable evaluation and management service by the samephysicianon the same day of the procedure or other service.” Its use is indicated when a patient’s condition requires a significant, separately identifiable E/M service above ...
Make sure your physician documents everything clearly. For example, “A separate incision was made,”“A different modality was used to remove the polyp,”“Patient was brought back to the operating room,” etc. Read the documentation. Do not append modifier 59 simply because your software’s...