Modifier -25 Decision Tree


Most likely, you regularly use a variety of modifiers each day you code your claims. However, Modifier -25 seems to be the one that drives coders crazy. It’s description doesn’t seem that challenging, but try and figure out when you should and shouldn’t actually use it and that’s another story.

That’s why there’s the Modifier -25 Decision Tree. This handy one-page coding tool, will walk you through a decision tree related to when you should and shouldn’t use Modifier -25 – step by step. You’ll easily be able to determine when it is and isn’t appropriate to add this common modifier.

Finally, by improving your Modifier -25 application, you’ll be paid for those multiple services performed on the same day by the same provider (like you should be), and you won’t have to worry about pesky denials.