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Modifier Cheat Sheet: Banish Your E/M Modifier Phobias Forever

Posted on 07. Aug, 2009 by in Toolkit

Once you have this tool, you’ll never again wonder which modifier applies to minor vs. major procedures.

If you’re often mixing up your E/M modifiers, then print this post and hang it near your desk. You’ll be sure to apply the appropriate modifier every time.

Pick Modifier 24 for Post-Op Cases

When you report modifier 24 (Unrelated evaluation and management service by the same physician during a postoperative period), the E/M service must meet these criteria:

• The E/M service occurs during the postoperative period of another procedure.

• The current E/M service is unrelated to the previous procedure.

• The same physician (or tax ID or same group and specialty) who performed the previous procedure provides the E/M.

Red flag: This is true even if the two physicians have different specialties or sub-specialties.

WEBINAR: E/M for Ortho. Where are you losing money?

Equate Modifier 25 With Minor Procedures

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