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By Suzan Hauptman, MPM, CPC, CEMC, CEDC, and John Verhovshek, MA, CPC CPT® modifier 25 identifies a “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 apply modifier 25 correctly, you must know what distinguishes a “separate, significantly identifiable” evaluation and management (E/M) service. Examining this area, it looks like it could have started as a pimple. Per the Centers for Medicare & Medicaid Services (CMS) Transmittal R954CP, “The E/M service may be prompted by the symptom or condition for which the procedure and/or service was provided.

To report a separate E/M service with modifier 25 appended, the visit must be more involved. Example: A patient presents for an I/D of a sebaceous cyst on her left thigh. She is not noticing any food triggers or activity triggers. A minor procedure is any procedure/CPT® code with a zero- or 10-day global period, as defined by Medicare’s Physician Fee Schedule Relative Value File.The construction of a raw water pump station at the Witbank dam and a pipeline from Witbank dam to the Pienaars dam were completed during 1997.At present, two water purification works, with a total design capacity of more than 50 000 cubic metre per day, meet the needs of Middelburg and Mhluzi.Contacts: 27 (0) Water supply Middelburg is supplied with water from the Middelburg Dam which is situated on the Klein Olifants River and which at present offers a safe supply of 36 438 cubic metre per day.Raw water supplement to the Middelburg dam kwota is obtained out of the Usutu Vaal Scheme.

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