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 […]

Using Modifier 25 Correctly

Including modifier 25 appended to a procedure tells the insurer you should be paid for both an E/M consult and a procedure performed at the same visit. 

Are You Using Modifier 25 Correctly?

Including modifier 25 appended to a procedure tells the insurer you should be paid for both an E/M consult and a procedure performed at the same visit.