What is “25 modifier used for” in medical billing?

25 Modifier in Medical Billing

The 25 modifier is used to indicate that a significant, separately identifiable E/M service was performed on the same day as another procedure or service.

25 Modifier in Medical Billing Explained

The 25 modifier allows a provider to bill for an E/M service that is distinct from other services provided on the same day. This ensures that the provider is reimbursed for both the E/M service and any procedures performed.

For example, a provider bills for an office visit and a minor procedure on the same day, using the 25 modifier to differentiate the E/M service.

Learn more about common acronyms and abbreviations in Medical billing glossary.

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