How to Use Modifier 25 - AAFP
Understand when to use modifier 25 so that you are paid correctly as well as how it affects the new add-on code G2211.
Modifier 25 is used to indicate that a patient’s condition required a significant, separately identifiable evaluation and management (E/M) service above and beyond that associated with …
Are You Using Modifier 25 Correctly? - AAPC Knowledge Center
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, …
Modifier 25 fact sheet - Novitas Solutions
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, …
What Is Modifier 25? | Description, Examples & Usage Guide
Dec 26, 2024 · In simple terms, modifier 25 indicates that, although the E/M service was performed by the same physician, it is unrelated to the other procedures performed on the …
Appropriate Use of Modifier 25 - American College of Cardiology
The Current Procedural Terminology (CPT) definition of Modifier 25 is as follows: Modifier 25 – this Modifier is used to report an Evaluation and Management (E/M) service on a day when …
Modifier 25 in Medical Billing: Simple Guide & Use
Apr 23, 2025 · So, what is Modifier 25? In simple terms, it tells the insurance payer that the provider performed a significant, separately identifiable evaluation and management (E/M) …
Understanding and Correctly Reporting CPT Modifier 25
Jul 6, 2024 · Modifier 25, "Significant, separately identifiable Evaluation and Management (E/M) service by the same physician or other Qualified Healthcare Professional (QHP) on the same …
Modifier 25: The Little CPT Code that Could - Net Health
Apr 28, 2025 · Modifier 25 is a CPT code modifier that indicates a significant, separately identifiable evaluation and management (E/M) service by the same physician or other qualified …
Modifier 25 is used to facilitate billing an Evaluation and Management (E&M) service on the same day of a procedure for which separate payment may be made. It is used to report a significant, …