By Karna W. Morrow
Think about the last time you attached modifier 25 to an Evaluation and Management (E/M) code. What were the circumstances? It was a new patient. The procedure or service was not planned. The provider documented each of the key components in addition to documenting the procedure. The payor denied the original E/M claim. Circumstancesmay warrant both a visit and a procedure or service on the same date of service, but when both services can be charged can be difficult to determine.

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