Mar 25, 2022 · Modifier 25 indicates that additional reimbursement is needed to account for the extra E/M work. The key is recognizing when the additional work is “significant” and, therefore, additionally …

Understand when to use modifier 25 so that you are paid correctly as well as how it affects the new add-on code G2211.

Use modifier 25 with the appropriate level of E/M service. Modifier 25 indicates on the day of a procedure, the patient's condition required a significant, separately identifiable E/M service, above …

Modifier 25, Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other …

Use to indicate that an E/M service was provided on same day as another procedure that would normally bundle under National Correct Coding Initiative (NCCI). In this situation, this modifier …

When you submit a claim to the insurance carrier that is coded with a 25 Modifier, you are telling the carrier to pay you for both the E/M visit and the minor procedure. Often in the past claims with both …

Feb 16, 2026 · Use modifier 25 when an E/M service is performed on the same day as a procedure, a preventive medicine service, or other medical service or procedure. Use our quick reference sheet …

Sep 10, 2025 · The medical records documentation supports the appropriate use of modifier 25. All the required key components of the E/M service with modifier 25 appended must be documented in the …

Aug 26, 2024 · In October 2023, the AOA published information to educate members on the appropriate use and documentation for modifier -25. However, confusion among doctors remains regarding the …

Modifier 25, Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other …