Mrs. smith presented to her physician's office for an office visit for an upper respiratory infection. the physician examines the patient and prescribes antibiotics. the physician notices the patient has a suspicious looking mole. the physician examined the mole and determined that it should be removed. the mole was removed during the same office visit. the physician bills both an e/m code and a procedure code. which modifier would you use on the e/m code

Question

Biology

Titus Simon

18 May, 07:49

Mrs. smith presented to her physician's office for an office visit for an upper respiratory infection. the physician examines the patient and prescribes antibiotics. the physician notices the patient has a suspicious looking mole. the physician examined the mole and determined that it should be removed. the mole was removed during the same office visit. the physician bills both an e/m code and a procedure code. which modifier would you use on the e/m code

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Krause · Answer 1

Correct answer: Modifier 25

Modifier 25 is used to report an evaluation and management service that is significantly unrelated to the surgical procedure performed by the same physician on the same day and the minor procedure was not planned but rather happen as a spontaneous decision made at the time of the physical examination.