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Procedure to Modifier Policy, Professional
For example, the description for modifier 25 (Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service) specifies that it is to be reported with an Evaluation and Management (E/M) service. Therefore, a surgical code, e.g., 62263, appended with modifier 25 will not
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Procedure to Modifier Policy, Professional
www.uhcprovider.comcode/modifier combination only when the modifier has been used appropriately. Note that any procedure code reported with an appropriate modifier may also be subject to other UnitedHealthcare Community Plan reimbursement policies. For example, the description for modifier 25 (Significant, Separately Identifiable Evaluation and Management (E/M)