Mastering Medical Modifiers: Deep Dive into Modifiers 22 and 25

This session will explore the nuanced application of CPT modifiers 22 and 25—two of the most commonly misused and audited modifiers in medical billing. Modifier 22 is used to indicate increased procedural services, while Modifier 25 is applied when a significant, separately identifiable E/M service is performed on the same day as another procedure.

Attendees will gain clarity on when and how to use these modifiers appropriately, supported by real-world case studies, documentation tips, and payer expectations. The session will also address common pitfalls, audit triggers, and strategies to support claims with robust documentation.

Whether you're coding surgical procedures or E/M services, this session will equip you with the knowledge to improve accuracy, reduce denials, and ensure compliance.

Webinar Objectives

To demystify the correct use of Modifiers 22 and 25 by: Identifying scenarios that justify their use, Understanding payer scrutiny and documentation requirements, Reducing audit risk and claim denials

Webinar Agenda

• Introduction to CPT Modifiers
• Deep Dive: Modifier 22 – When “Difficult” Isn’t Enough
• Deep Dive: Modifier 25 – Separately Identifiable E/M Services
• Common Errors and Denial Trends
• Best Practices for Compliance and Reimbursement
• Q&A

Webinar Highlights

• When to use Modifier 22 for increased procedural services
• Documentation essentials to support Modifier 22 claims
• Proper use of Modifier 25 with E/M services
• How to avoid common billing errors
• Real-world case studies and payer expectations
• Impact of incorrect modifier use on reimbursement
• Audit risks and how to mitigate them
• Differences between Modifier 22 and 52
• How to appeal denied claims involving these modifiers
• Tools and resources for ongoing compliance

Who Should Attend

Certified Professional Coders (CPCs), Medical Billing Specialists, Compliance Officers, Revenue Cycle Managers, Practice Administrators, Auditors, Physicians and Clinical Staff involved in documentation