Which modifier would you use to indicate a service was performed on the same day as a preceding procedure?

Prepare for the ICD-10-CPT Coding Exam. Study with flashcards and multiple choice questions, each backed by elucidative hints and explanations. Ace your certification easily!

Modifier 25 is the correct choice because it specifically indicates that a significant, separately identifiable evaluation and management service was performed by a physician on the same day as a procedure or other service. This modifier is applied in situations where the physician conducts a meaningful evaluation and management service that is distinct from the procedure performed on the same date.

For instance, if a patient comes in for a routine consultation and also requires a minor surgical procedure, applying modifier 25 indicates that the consultation was necessary and separate from the procedure. This ensures that the practice can bill for both services appropriately.

The other modifiers serve different purposes. For instance, modifier 22 is used to indicate that the work required to provide a service was substantially greater than typically required; modifier 50 is applied for bilateral procedures; and modifier 59 indicates that a procedure or service was distinct or independent from other services performed on the same day. They do not have the same meaning or function as modifier 25 in this specific context.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy