tci General Surgery Coding Alert - 2023 Issue Q3

Modifier 25: Tighten Documentation Standards for E/M With Minor Surgery

Payers may make it harder to use this modifier. The good news is that Cigna once again delayed implementing a policy that would have made it more difficult to bill for a minor surgery on the same day as a significant, separately identifiable E/M service. The bad news is that the policy is delayed, not cancelled, and other payers may want to follow suit. Background: Cigna intended to implement the policy in August 2022, but delayed the update until May 2023.The payer has now delayed again, stating that it will continue to review for implementation. Help is here:...

To read the full article, sign in and subscribe to tci General Surgery Coding Alert.


Leverage vital, to-the-point monthly guidance to boost your reporting accuracy and your coding know-how. We make it convenient for your team to stay informed, compliant, and profitable with a subscription to TCI’s General Surgery Coding Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 2100 articles
  • ALL years/issues back to 1999 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci General Surgery Coding Alert +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.