As modifier 25 audits pick up, key in on internal review, provider education
Effective Jun 4, 2026
Published Jun 8, 2026
Last Reviewed Jun 4, 2026
The Office of the Inspector General (OIG) announced it is launching a new audit of E/M services billed on the same day as minor procedures effective March 16, 2026. When an E/M service that is significant, separately identifiable, and well documented in the clinical record is performed on the same day as a minor surgical procedure, modifier 25 is used to report the E/M service.
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