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Author Question: Modifier 24 reflects the nature of the E/M. Modifier 25 has complex requirements. Using gained ... (Read 112 times)

tfester

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Modifier 24 reflects the nature of the E/M. Modifier 25 has complex requirements. Using gained knowledge and the CPT manual, compare and contrast these two modifiers.
 
  What will be an ideal response?

Question 2

Physician X, a cardiothoracic surgeon working in Georgeville Surgery, performed a minor surgical procedure on Patient C on May 7th. On May 13th (six days later), Patient C presents to the Georgeville Surgery to see Physician M, a urinary surgeon for an issue with incontinence. Physician M would be considered the same physician as Physician X because both physicians are partners in the same clinic.
 
  Indicate whether this statement is true or false.



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Zack0mack0101@yahoo.com

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Answer to Question 1

Answers should include (but may not be limited to) the following:
Modifier 24 documents an E/M visit performed during postoperative period for a presenting problem that is unrelated to the reason for the surgery.
Modifier 25 has four specific criteria: Content of service must be documented for the E/M service and must support at least a problem-focused (or level 1) service; the E/M service must be performed for an identifiably different reason from that of the other service or procedure; the same physician must perform both services; the services must occur on the same day.
Compare the differences between these two modifiers in the performance of an E/M service.

Answer to Question 2

FALSE




tfester

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Reply 2 on: Jun 27, 2018
Thanks for the timely response, appreciate it


JCABRERA33

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Reply 3 on: Yesterday
Gracias!

 

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