An article was recently published to the National Government Services (NGS) website that should serve as a reminder for billing a visit code with modifier -25.

Modifier -25 should be listed with an E & M visit code only when a significant, separately identifiable service (that is above and beyond the usual care associated with a procedure) is performed during the same visit for a particular patient.

Appropriate documentation to support the E & M visit code and the procedure must be noted to support the modifier -25 being listed with the visit code.

The entire NGS article on the subject is available here.