Urology Coding and Reimbursement Podcast

UCR 009: Modifier -25


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Mark, Scott, and Ray talk modifier -25.  In addition to a general overview of the definition, they give several urology specific examples.

Modifier -25 definition: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service: It may be necessary to indicate that on the day a procedure or service identified by a CPT code was performed, the patient's condition required a significant, separately identifiable E/M service above and beyond the other service provided or beyond the usual preoperative and postoperative care associated with the procedure that was performed.

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Urology Coding and Reimbursement PodcastBy Mark Painter, Scott Painter and Dr. Ray Painter

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