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Orthopedic Coding Alert

Compliance:

Payer Set to Slash Some Modifier 25 Pay

Experts: New policy ‘absurd,’ ‘awful.’ Orthopedists 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. 1, Independence will reimburse claims appended with [...]



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