The CPT definition of a significant, separately identifiable service relies on determining the correct level of E/M service to be reported.

Terry discusses what questions should be asked before you determine whether an E/M service justifies the use of modifier 25 according to CPT guidelines, CMS rules, and payer policy language.

Also, this episode’s coding question is a reminder of how to use the TCM rules.

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Podcast: Play in new window | Download (Duration: 18:26 — 25.5MB)