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Description

The main purpose of Modifier 25 is Significant, separately identifiable E/M service by the same physician on the same day of the procedure. For example, a patient comes in with a sore throat and during the exam, the provider decides to give an intramuscular steroid shot

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Average Reimbursement Range (Commercial, Medicare, Medicaid) Reimbursement varies by payer, region, and place of service, but typical averages include: Medicare: $11$18 Commercial insurance: $15$35 Medicaid: $3$15 depending on state guidelines What Providers Must Know Immediately Key points to remember: The drug itself must be billed separately using a J-code

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