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The main purpose of Modifier 25 is Significant, separately identifiable E/M service by the same physician on the same day of the procedure. For example, a patient comes in with a sore throat and during the exam, the provider decides to give an intramuscular steroid shot

Average Reimbursement Range (Commercial, Medicare, Medicaid) Reimbursement varies by payer, region, and place of service, but typical averages include: Medicare: $11$18 Commercial insurance: $15$35 Medicaid: $3$15 depending on state guidelines What Providers Must Know Immediately Key points to remember: The drug itself must be billed separately using a J-code

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Unlike with previous technologies, SculpSure has no risk of bruising, meaning no one will ever know youve had a treatment

doi: 10.1172/JCI42447 35 SotiropoulosAOhannaMKedziaCMenonRKKopchickJJKellyPAet al