DecisionHealth, DecisionHealth - 2019 Issue 4 (April)

Anthem rolls out modifier 25 policy that could deny same-diagnosis E/M claims

Beware, reporters of modifier 25-appended E/M services: Anthem, one of the nation’s largest payers, has issued a policy update seeking to curtail claims for E/M codes submitted with the oft-used modifier for significant, separately identifiable E/M services.

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