During an annual well-woman examination, Dr. Komen discovered a lump in Serita's breast. Dr. Komen then documented a problem-focused E/M, which should be appended with which modifier?

Question

Quizplus · Accepted Answer

Modifier 25 is used to indicate that on the day of a procedure, a significant, separately identifiable evaluation and management (E/M) service was performed by the same physician or other qualified health care professional. In this scenario, discovering a lump in Serita's breast during an annual exam and documenting a problem-focused E/M service would require appending modifier 25 to the E/M service code to signify that it was a separate and distinct service from the annual exam.

During an Annual Well-Woman Examination, Dr