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Printed Date: 9/22/2015
Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service.
Examples for Correct use of CPT Modifier 25
Example 1: Beneficiary medical history: date of service January 3, CPT code 20610, HCPCS modifier LT (knee joint injection, 0 global days)
Example 2: Beneficiary medical history: date of service February 15, 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, 1.13 MB)
CMS Pub. 100-04, Chapter 23, Addendum at the end of the chapter (PDF, 1.83 KB)
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Last Updated: 05/03/2019