the E/M service is separate from the procedure performed, is not a part of the procedure, and is clearly documented in the medical record.
an initial hospital visit, initial inpatient consult and/or hospital discharge service is billed for the same date as inpatient dialysis providing the service is unrelated or cannot be rendered during the dialysis session.
preoperative critical care codes are billed within a global surgical period.
during a preventive care visit a significantly, separately identifiable acute care E/M service is also provided. In this instance, modifier 25 should be appended to the acute E/M service code, not the preventive service code.
during a routine foot care visit, a significantly, separately identifiable service is medically necessary.
The Health Plan recognizes the use of modifier 25 with E/M services within the following range: