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.
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, additionally …
Modifier 25 is used to indicate that a patient’s condition required a significant, separately identifiable evaluation and management (E/M) service above and beyond that associated with another …
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, above …
Appropriate Use of Modifier 25 - American College of Cardiology
The Current Procedural Terminology (CPT) definition of Modifier 25 is as follows: Modifier 25 – this Modifier is used to report an Evaluation and Management (E/M) service on a day when another …
25 - JE Part B - Noridian
View modifier definition, instructions, correct/incorrect use, claim examples and resource.
When to use Modifier 25 - Find-A-Code
Dec 17, 2025 · What is Modifier 25? Modifier 25 indicates that on the day of a procedure, the patient's condition required a significant and separately identifiable EM service above and beyond that which …
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 Other …
Modifier 25: The Little CPT Code that Could - Net Health
Apr 28, 2025 · Modifier 25 is a CPT code modifier that indicates a significant, separately identifiable evaluation and management (E/M) service by the same physician or other qualified healthcare …
Modifier 25 fact sheet | FCSO Medicare
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, above …