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If the entire visit was dedicated to prepping and performing the procedure with no separate clinical problem addressed, do not bill a separate E/M at all The E/M led to a decision to perform major surgery (use modifier 57) Quick Documentation Checklist: Distinct complaint documented Separate MDM complexity or total time documented for the distinct problem Diagnosis code supports the E/M independently E/M work exceeds standard pre/post procedure care Note is organized so both services are distinguishable Billing Format: Common Modifier 25 Denial Reasons and Audit Risk Modifier 25 is the most audited modifier in medical billing

Livestock Supplement

Package:Kit (10 vials)

A small IV line is placed, the bag runs, and you can read or use your phone