Health Information Management

Pay-per-view: Significant, separately identifiable E/M: Modifier -25

APCs Insider, April 8, 2011

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Assigning the most appropriate E/M level can be a challenge since no national guidelines exist and physicians don't always document everything they do during an exam.

Another potentially confusing situation arises when a patient comes in for a minor procedure and the physician performs a history, physical exam, and medical decision-making-all the elements of an E/M service. Should you separately bill an E/M service along with the procedure? The answer, not surprisingly, is "it depends."

Continue reading “Significant, separately identifiable E/M: Modifier -25” on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the April issue.



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