When Is Modifier 25 Used?

When Is Modifier 25 Used?

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.

When should you use modifier 25?

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 the difference between modifier 24 and modifier 25?

Modifier 24 refers to the evaluation and management services provided to the patient on the day of a surgical procedure unrelated to the procedure itself. Modifier 25 identifies the evaluation and management services as unique services provided on the same day by the same medical professional.

Sophia Al-Mansoor
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Sophia Al-Mansoor

Sophia analyzes international trade, startup ecosystems, retail transformation, and supply chain logistics for modern digital publications.