Which modifier indicates that a procedure was performed on the same day as another procedure?

Modifier 25 is used to indicate that a significant, separately identifiable evaluation and management (E/M) service was performed by the same physician on the same day as another procedure or service. This modifier allows the healthcare provider to indicate that the E/M service was necessary and not merely a result of the other procedure performed.

In scenarios where patients receive multiple services on the same day, it is important to differentiate between the main procedure and any additional E/M services to ensure appropriate reimbursement. The use of modifier 25 ensures that when a physician addresses a patient’s condition and performs a procedure on the same day, they can adequately report both services without being penalized for overlapping care. This is often seen in cases where a patient had a problem addressed during a surgical procedure, but also required significant additional evaluation or management.

Modifiers like 50, 59, and 33 serve different purposes. Modifier 50 is used for bilateral procedures, modifier 59 is intended for indicating distinct procedural services, and modifier 33 refers to preventive services. Hence, they do not apply to the context of indicating that a procedure was performed on the same day as another procedure.