DecisionHealth, DecisionHealth - 2026 Issue 6 (June)
Patient relationship modifiers have surged since 2018, and one specialty dominates
Patient relationship category modifiers aren’t mandatory, but they have gained popularity since CMS introduced them in 2018. Providers submitted approximately 170,000 Medicare Part B claims with a patient relationship modifier in 2018. The most recent CMS data shows that providers submitted more than 50 million claims with a patient relationship modifier in 2024.
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