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Part B Insider (Multispecialty) Coding Alert

Modifiers:
This Payer Now Rejects Most Modifier 25 Claims

Navigate the modifier maze with quick advice. You’ve followed the modifier 25 guidance, double- and triple-checked the CCI edits, and triumphantly append modifier 25 to your E/M code, awaiting payment for both a procedure and an E/M service—only to find a denial on your desk a few days later. Unfortunately, this scenario is becoming quite common, with yet another payer [...]