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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:

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