Billing & Coding: Which Modifier to Use With E &M Code

Welcome to your billing and coding weekly solutions by American Acupuncture Council Network (AAC).

Are you confused as to which of the two modifiers (25 or 59) should be used on an Evaluation and Management (E&M) code?

The correct modifier for an E & M code, when billed with treatment, is modifier 25.  

This modifier indicates the exam was separate and distinct from the evaluation associated with treatment.

Thankfully, American Acupuncture Council Network (AAC) is the expert with over 3 decades of experience in dealing with a wide range of acupuncture billing issues. 

Remember, billing with incorrect acupuncture CPT and ICD codes can lead to claim rejections and delays in payments, which can have a devastating impact on generating revenue and keeping you in business. 

If you are experiencing insurance claim denial, staff spending too much time trying to get claims paid, and patients asking why their claims have not been paid then American Acupuncture Council Network is your solution.

American Acupuncture Council Network stays ahead of the curve on the latest trends and changes in billing and coding by utilizing their direct channel of communication with the insurance companies and organizations that set the guidelines.

There is a reason acupuncturists have trusted AAC with their business for over 30 years.