When is it Appropriate to Use Modifier 25?

As auditors and educators, it would probably come as no surprise to you that we get more questions about Modifier 25 than any other modifier. So, it should also come as no surprise that in our world of coding and auditing, Modifier 25 is the most misused and misunderstood modifier of them all.

And now, CMS and other payers are proposing additional changes around the payment for E/M services with Modifier 25, which is only exacerbating the confusion. So it’s more important than ever for every provider, coder, biller, and auditor to have a thorough, fool-proof understanding of the proper usage of this complex modifier.

Which is why in this on-demand webinar, titled “Decoding the Mysteries of Modifier 25,” our resident expert, Lori Cox, looks at all of the rules, guidelines, and case studies to help you simplify the complex nature of this modifier through:

• Defining “Separately Identifiable” and “Above and Beyond”
• Understanding How Many Global Days a Code Has
• Clarifying Individual MAC Guidelines and Payer Instructions

Filling out the form below will allow you to watch the webinar for free. On the next page you will then have the option to purchase a CEU for $30.

This program meets AAPC guidelines for 1.0 CEU. It can be split between Core A and all specialties with the exceptions of CASCC and CIRCC. On-Demand views require successful completion of post-test for continuing education units. You will receive your CEU in a separate email after watching the on-demand recording.