Compliance Office Documents and Tools
Evaluation and Management (E & M) Coding
Modifiers
- -22, increased procedural service
- -25, significant, separately identified E&M service
- -51, multiple procedures
- -57, decision for surgery
- -59, distinct procedural service
Time Based Codes - Counseling and Coordination of Care
Compliance Tips
Compliance Office Billing Audit Form
Government Investigations and Searches
Laboratory Ordering and Coding Guidelines
Medical Necessity Documentation
Medicare and Medicaid
Ambulatory Patient Groups (APGs) - New York State Medicaid
Medicare Annual Wellness Visits
Specialties
Psychiatry
Psychiatric Services Documentation Requirements
Surgery
Global Postoperative Visits - 99024
Modifiers
- -22, increased procedural service
- -25, significant, separately identified E&M Services
- -51, multiple procedures
- -54 surgical care only
- -55 post-operative management only
- -57, decision for surgery
- -59, distinct procedural service
- -62, co-surgery
- -79, unrelated procedure/service by the same physician during the post-operative period
Teaching Physician
Teaching Physician Guidelines for E&M Services




