Question

Significant, separately identifiable evaluation and management service by the same physician or other qualified healthcare professional on the same day of the procedure or other service is which modifier?

a.
50
b.
25
c.
33
d.
24

Answer 1

Modifier 25 is used to designate a significant, separately identifiable evaluation and management service by the same healthcare professional on the same day as a procedure or other service.

Step-by-step explanation:

The modifier that is used to indicate a significant, separately identifiable evaluation and management (E&M) service by the same physician or other qualified healthcare professional on the same day of a procedure or other service is modifier 25. Modifier 25 is added to the E&M service code to signal to insurers that the patient's condition required a significant, separate E&M service beyond the usual pre- and post-operative care associated with the procedure that was performed.

This is used in situations where a patient may come in for a scheduled procedure, but during the visit, the physician or healthcare professional identifies an additional problem that is addressed as part of the visit. The use of this modifier ensures that the provider is compensated for the additional evaluation and management work performed.