Dynamic List Information
Dynamic List Data
Title
Evaluation and Management Services & Intravitreal Injections: Bill Correctly
Date
2026-02-12
In a report, the Office of the Inspector General found that Medicare providers improperly billed for evaluation and management (E/M) services provided on the same day as intravitreal injections using modifier 25. Only a significant and separately identifiable E/M service unrelated to the decision to perform the minor surgical procedure should be separately reported with modifier 25.
Learn when to use modifier 25 to prevent improper payments:
- E/M Services (PDF) booklet
- Medicare Vision Services (PDF) booklet