How to Use Modifier 25 - AAFP
Understand when to use modifier 25 so that you are paid correctly as well as how it affects the new add-on code G2211.
Modifier 25, Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or …
Are You Using Modifier 25 Correctly? - AAPC Knowledge Center
Mar 25, 2022 · Modifier 25 indicates that additional reimbursement is needed to account for the extra E/M work. The key is recognizing when the additional work is “significant” and, therefore, …
Modifier 25 fact sheet - Novitas Solutions
Use modifier 25 with the appropriate level of E/M service. Modifier 25 indicates on the day of a procedure, the patient's condition required a significant, separately identifiable E/M service, …
Appropriate Use of Modifier 25 - American College of Cardiology
When you submit a claim to the insurance carrier that is coded with a 25 Modifier, you are telling the carrier to pay you for both the E/M visit and the minor procedure. Often in the past claims …
25 - JE Part B - Noridian
Use to indicate that an E/M service was provided on same day as another procedure that would normally bundle under National Correct Coding Initiative (NCCI). In this situation, this modifier …
Modifier 25, separate E&M service, same physician, same day
Oct 7, 2025 · Modifier 25 is used to describe a significant and separately identifiable evaluation and management service by the same physician on the same day of the procedure or other …
Modifier 25 - CodingIntel
Dec 17, 2025 · Use modifier 25 when an E/M service is performed on the same day as a procedure, a preventive medicine service, or other medical service or procedure. Use our …
Clearing up modifier confusion - AOA
Aug 26, 2024 · In October 2023, the AOA published information to educate members on the appropriate use and documentation for modifier -25. However, confusion among doctors …
Understanding and Correctly Reporting CPT Modifier 25
Jul 6, 2024 · Modifier 25 is applied when an E/M service provided by a physician or QHP on the same date as another procedure or service is significant and separately identifiable.