Tag: Modifier 25

Sep 15
Modifier 25 in Pediatric Billing: When Can You Bill a Sick Visit With a Well Visit?

A child may come for a scheduled well-child visit and also have an earache, rash, asthma symptoms, or another concern requiring evaluation. The key question is whether the problem-oriented evaluation and management (E/M) service is significant and separately identifiable from the preventive service. Modifier 25 can be reported with the appropriate E/M code when that […]