Get the free Modifier 25 fact sheet

Reimbursement Policy ManualPolicy #:RPM028Policy Title:Modifier 25 Significant, Separately Identifiable E/M ServiceSection:ModifiersSubsection:Borescope: This policy applies to the following Medical

How to fill out modifier 25 fact sheet

How to fill out modifier 25 fact sheet

1. Obtain the modifier 25 fact sheet template
2. Fill in all relevant patient information, including name, date of birth, and medical record number
3. Document the date of service and the specific procedure code that requires modifier 25
4. Provide a detailed description of the significant, separately identifiable evaluation and management service that was performed during the visit
5. Clearly explain how the evaluation and management service is distinct from the procedure being billed for
6. Review the completed fact sheet for accuracy and completeness before submission

Who needs modifier 25 fact sheet?

1. Healthcare providers who perform evaluation and management services in conjunction with a separate procedure
2. Medical coders and billers who are responsible for accurately documenting and billing for services provided

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What is modifier 25 fact sheet?

Modifier 25 is used in medical billing to indicate that a significant, separately identifiable evaluation and management service was provided by the same physician on the same day as another procedure.

Who is required to file modifier 25 fact sheet?

Healthcare providers who perform both a procedure and an evaluation and management service on the same day may be required to file the modifier 25 fact sheet.

How to fill out modifier 25 fact sheet?

To fill out the modifier 25 fact sheet, providers must include patient identification, service dates, descriptions of services rendered, and a clear distinction between the evaluation and management service and any other procedures.

What is the purpose of modifier 25 fact sheet?

The purpose of the modifier 25 fact sheet is to ensure that separate services are appropriately documented and billed, allowing for reimbursement for both the evaluation and management service and the procedure.

What information must be reported on modifier 25 fact sheet?

The information that must be reported includes the patient's name, date of service, description of the evaluation and management service, and any relevant procedure codes.