Don't have a TCI SuperCoder account yet? Become a Member >>

Neurology & Pain Management Coding Alert


Pennsylvania Payer Puts Brakes on Modifier 25 Pay

BCBS unveils new policy experts call ‘absurd,’ ‘awful.’ Neurology and pain management practices typically use modifier 25 multiple times a day, but the odds of collecting full pay for this frequently-reported modifier could be dropping dramatically. That’s the word from Pennsylvania’s Independence Blue Cross Blue Shield, which is making drastic reimbursement changes to the modifier. Here’s the scoop: Effective Aug. [...]