Making the Decision to use -25 can be a tough one because first, you need to know if the “significant separately identifiable” CPT definition was met.

Second, the coding provider must be able to defend the history, examination, medical knowledge, professional skill, and work time that was above and beyond what is usually required solely for the procedure.

Tune in to this edition of the CodeCast Podcast to help you make the determination, and answer the 25 modifier question, as Terry Fletcher will help you answer those questions, stay compliant, and provide confidence in your coding.

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