Modifier -25 is used to indicate an Evaluation and Management (E/M) service on the same day when another service was provided to the patient by the same physician. ... ASPS believes that providing medically necessary, distinct services on the same date allows physicians to provide efficient, high quality care.

When should modifier 25 be used?

Modifier 25 – this Modifier is used to report an Evaluation and Management (E/M) service on a day when another service was provided to the patient by the same physician or other qualified health care professional.

What is a 25 modifier in medical billing?

The following examples might help clarify what constitutes “significant” and “above and beyond.” In the following situation, you should bill the minor surgical procedure code only: The patient complains of a troublesome lesion, you evaluate the lesion and you remove it at that visit.