Understand when to use modifier 25 so that you are paid correctly as well as how it affects the new add-on code G2211.

While the modifier has not been revised for the CPT 2023 code set, confusion exists regarding its appropriate use. This article discusses the appropriate use of this modifier, outlines key …

Here is an example of an appropriate use of Modifier 25: Example 1: A patient visits the cardiologist for an appointment complaining of occasional chest discomfort during exercise. …

Dec 26, 2024 · Our advice? Only use modifier 25 with the appropriate level of distinct evaluation and management (E/M) service. Today, we’ll answer all your queries about this two-character …

Dec 9, 2025 · Append modifier 25 when the problem the physician manages is either new or separate from the reason for the procedure. A patient visits the clinic for a scheduled wart …

Appropriate Use of Modifier 25 (examples) A patient presents for a well child visit and a vaccine is administered. The well child visit should be billed with modifier 25 along with the vaccine …

Oct 26, 2017 · Here's a look at a pair of common modifier 25 scenarios.

Modifier 25 is defined as a significant, separately identifiable evaluation and management (E/M) service by the same physician or other qualified health care professional on the same day of …

Dec 17, 2025 · Use modifier 25 when an E/M service is performed on the same day as a procedure, a preventive medicine service, or other medical service or procedure. Use our …

Oct 8, 2024 · Modifier 25 only applies to Evaluation and Management (E/M) services, such as office visits, consultations, or hospital rounds. The service must be performed by the same …