Health Information Management

Tip of the week: Don't report an E/M with every procedure; follow AMA guidelines for modifier -25

APCs Insider, May 23, 2008

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You should not charge or code an E/M each and every time you perform a wound care procedure. An OIG report expressed concern about this practice. The E/M must be significantly separate from the procedure. Follow AMA guidelines with respect to using an E/M with a procedure and assign modifier -25 to the E/M.

(The above tip was excerpted from the June issue of APC Answer Letter)



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