A physician performs a minor office procedure and, on the same day,…

Question

A physician performs a minor office procedure and, on the same day, also provides a significant, separately identifiable E/M service beyond the usual pre-procedure work. Which modifier best reports that E/M?

Accepted Answer

Modifier 25 on the E/M to show it is significant and separately identifiable from the procedure. — Modifier 25 is the ‘this visit wasn’t just the procedure handshake’ flag. Use it when the E/M is significant and separately identifiable beyond usual pre-op chatter.

Answer

Modifier 59 on the E/M to unbundle it from the global surgical package automatically.

Answer

Modifier 51 on the E/M to indicate multiple evaluation visits.

Answer

Modifier 76 on the E/M to show a repeat evaluation by the same physician.

A physician performs a minor office procedure and, on the same day, also provides a significant, separately identifiable E/M service beyond the usual pre-procedure work. Which modifier best reports that E/M?

Short Explanation

Full Explanation