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Printed Date: 9/22/2015
Examples for Correct use of CPT Modifier 25
Example 1: Beneficiary medical history: date of service January 3, 2011, CPT code 20610, HCPCS modifier LT (knee joint injection, 0 global days)
Example 2: Beneficiary medical history: date of service February 15, 2011, CPT code 20553 (trigger point injections, 0 global days)
Example of Incorrect use of CPT Modifier 25
CMS Pub. 100-04, Chapter 12, Section 40.2.-40.5 (PDF, 1 MB)
CMS Pub. 100-04, Chapter 23, Section 30.2 (PDF, 1.74 KB)
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Last Updated: 02/08/2017