In response to the report, CMS concluded that dermatologists are complying with modifier 25 coding rules and the agency will not impose any additional regulations in this area.

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Several commercial payers have adopted stricter reimbursement policies to deny modifier -25 claims upfront, according to Joette Derricks, a healthcare compliance and revenue integrity consultant who ...

Current procedural terminology modifiers 25 and 57 may be confusing to some coders, but each serves a specific purpose, according to an AAPC report. For an evaluation and management visit when a ...

More than 100 medical associations have taken issue with a new policy from Cigna regarding claims coded with modifier -25. Cigna is coming under fire for its new policy requiring submission of office ...