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CPT Modifiers Official List List

Used by hospitals to report multiple outpatient E/M encounters for the same patient on the same date of service. This modifier is for facility reporting only not physician claims.

27 Multiple Outpatient Hospital E/M Encounters on the Same Date

CPT Modifier 27

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Description Indicates that a procedure or service was distinct or independent from other services performed on the same date and is not normally reported together. Modifier 59 is used to override National Correct Coding Initiative (NCCI) procedure-to-procedure edits when appropriate documentation supports separate services.

59 – Distinct Procedural Service

CPT Modifier 59

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Used when a significant and separately identifiable E/M service is provided on the same date as a procedure or other service.

Modifier 25 – Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other Service

CPT Modifier 25

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