Modifier 25INFORMATION ABOUT MODIFIER 25 AND CODING (Updated July 2025)Based on the 000-day global designation assigned to Osteopathic Manipulative Treatment (OMT) by CMS, OMT is categorized as an endoscopic or minor surgical procedure. Due to this designation, when both an Evaluation and Management (E/M) service and OMT are reported on the same date, the payment for the E/M service is typically included in the payment for the OMT. However, both CMS and the AMA CPT recognize exceptions to this rule. CMS NCCI edits and CPT guidelines for OMT allow the reporting of an E/M service and OMT on the same date with the use of Modifier-25. CMS NCCI Edits Policy Revision (pending) There are two key definitions for Modifier-25:
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