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MEDICAL-BILLING-CODING5 MIN READ

Modifier 25 needs a separate story

Determine when modifier 25 is supported by a significant, separately identifiable E/M service.

A dermatologist sees Mr. Reed for a scheduled shave biopsy. During the same encounter, the patient also reports two weeks of dizziness. The provider documents orthostatic vitals, medication review, assessment of likely dehydration from a new diuretic, dose-change coordination with the PCP, and biopsy consent/procedure.

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