When to Add a Modifier 25 to the E/M

Avoid Modifier 25 Mistakes.

When to Add Modifier 25 to the E/M

Do you ever question when to use Modifier 25? Well, we sure do. So we’ve created a free cheatsheet that provides a visual way for you to remember the Modifier 25 rules. 

One example of when it’s appropriate to add a Modifier 25, is when it’s an acute visit with complaint of a sign or symptom and the history and exam are done and the decision is made to perform a procedure at that time.

Print it out and hang it in your office for an easy reminder of the Modifier 25 rules. It’s much easier than searching for your notes, covering your cubicle in post-its or scanning industry chat rooms.

Download the cheatsheet, When to Add a Modifier 25 to the E/M, for a free roadmap of when it’s appropriate to code Modifier 25 including:

  • “Oh by the Way” Complaints
  • Different Diagnoses for Same-Day Visits
  • Follow-up Visits with Known Complaint to the Provider

 

*Special thanks to Melissa A. Briggs, CPC, CPMA,  Coding Education Coordinator at Stormont-Vail Healthcare, for helping create this cheatsheet.