Understanding The Complexity of Modifier 25 in Dermatology

Understanding The Complexity of Modifier 25 in Dermatology

Total Runtime: 30 minutes 

Cost: $99

Appending modifier 25 (Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other Service) to an Evaluation and Management (E/M) code, when also billing a minor procedure on the same day, typically results in payment for both services – the reward.  But is it correct?

Payors, including the Office of the Inspector General (OIG), have been auditing the proper use of modifier 25 and recouping millions of dollars from dermatologists. A common misconception is that the E/M code and procedure code are always billed together.  That’s just not true.  There are times when it is not appropriate to also report the E/M code but bill only the procedure.

 We will examine the CPT guidelines about using modifier 25 as well as what Medicare says.  Several scenarios frequently encountered in dermatology practices will be reviewed.  You will have a better understanding of how to correctly use modifier 25 when performed with the common Dermatology minor procedures

Registering Multiple Attendees 

1. Create, or have each attendee create, a user account here. 
   1. If one person is creating all of the accounts you will need to log out each time to create the next account.
2. Log in with the account that you wish to pay through and add desired products to your cart. 
3. Once you have selected all the desired products, go to your cart. 
   1. You will initially be registered for each product. You can edit this after you have added the additional attendees using the "remove" button.
4. To add the additional attendees select the green button in your cart titled “Add a Registration for Another User.”
5. Enter the email address for the additional attendee.  If they have an account their name will populate and you can select “Add Product for This User.”
6. The attendee's name will appear in the registrant column under your own. 
7. Repeat this for each additional attendee.
8. Proceed, filling out the additional information for each attendee and completing payment.

If you have any issues with completing your registration please email us at education@karenzupko.com or call 312 642-8310 

On-Demand: Transfer and Cancellation Policy

All cancellation and transfer requests must be submitted in writing via email to education@kzanow.com. Refunds are subject to an administrative fee per registrant per course according to the following schedule: 

• The course has not been started.
• If there is a pdf handout or workbook available, $60 will be deducted from the refund.
• If a hard copy book has been printed/shipped, $60 plus shipping and handling will be deducted.
• Timing of your request:
  • Cancellation requests must be received via email within 24 hours of purchase for a full refund less above fees.
  • Cancellations received after 24 hours of purchase will result in a transfer of funds to another on-demand course within the same year less above fees.

Please email education@kzanow.com to submit your transfer or cancellation request.