Audits and modifier 25 – Ophthalmology Management

The use of modifier 25 to be paid for an exam on the day of a minor procedure has increased dramatically the last few years. That means audit risk is up. Here’s help to avoid that happening to you.

This article answers the following questions:

• What does modifier 25 mean?
• What types of procedures are associated with modifier 25?
• Are different diagnoses required?
• Does modifier 25 attract attention from Medicare or other payers?

This article was published in Ophthalmology Management’s Coding & Reimbursement column, which is written by Corcoran’s Executive Vice-President, Suzanne Corcoran, COE. To view the entire article in Ophthalmology Management, click on the link below:

http://www.ophthalmologymanagement.com/articleviewer.aspx?articleID=108750