BCBS is Reducing Payment for E/M Service on the Same Day as Procedure

CPT Modifier 25

Recent payer policies will only reimburse 50% when an E/M and procedure are performed on the same day. Payers are now adding a layer of complexity by reducing the Evaluation and Management (E/M) service payment by 50% when a separately identifiable E/M service is provided in addition to the minor procedure performed. The use of […]

2023 E/M Updates for Consultation Services

The American Medical Association (AMA) published many changes impacting CPT® E/M codes and guidelines, taking effect Jan. 1, 2023. There are 25 deleted codes and many revisions to codes and guidelines in five code categories.

Boost Your IR Revenue by Capturing and Billing Consult E&Ms

Cuts for Radiology and IR reimbursements are looming.  CMS’s intention is to cut reimbursements for specialists in order to boost reimbursement for Evaluation & Management patient office visits (E&M). Learn how to capture and bill E&M for your Radiology/IR practice.

2021 E&M Documentation & Coding Guidelines

Everyone has been talking about the changes coming to the E&M Guidelines for several years and now it is about to happen.  The AMA has put together guidelines related to how these changes will be applied to the Office E&M codes (99202-99215).