Life as a Coder Modifier 25: A Story of Compliance

In this weeks episode we are joined by Sonal Patel, CPMA, CPC, CMC, ICDCM. She is a repeat guest and we are very excited to discuss Modifier 25. It has been in the news lately and a very controversial Modifier for years now.

We will discuss:

  • Modifier 25 Definition
  • News from Commercial Payers
  • OIG report from 2005
  • Using Authoritative Guidance

Check out these cool references:

OIG Report

CMS Global Booklet

Fact Sheet

CMS Processing Manual

Check out the Podcast Paint the Medical Picture

Check out our Upcoming Ortho-Care Virtual Summit where we dig into Using Modifier 25 for Orthopedics


This episode qualifies for a CEU for our All Patreon Squad Members. Become a member today at



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