You can bill modifier -25, but mandate for certain codes delayed

Article Overview

This article covers a Medicare fee schedule update on modifier -25 policy and related guidance from HCFA. It is relevant to coders, billers, compliance staff, and practices that report evaluation and management services alongside procedures. The piece focuses on the agency’s retreat from a proposed mandate, the expectation of future code-pair guidance in the Correct Coding Initiative, and the involvement of specialty societies and nonphysician practitioners in reviewing affected evaluation codes.