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Many codes bundle with evaluation and management (E/M) services using modifier 25, but payers often indicate that codes that include modifier 25 are potentially abusive. (Read about Cigna's recent modifier-25 policy change in this FPM blog post and AAFP News story.)
To protect yourself from payer scrunity, here are some tips for using modifier 25 properly:
For more information, see:
— Cindy Hughes, CPC, CFPC
Posted on April 28, 2023
Disclaimer: The opinions and views expressed here are those of the authors and do not necessarily represent or reflect the opinions and views of the American Academy of Family Physicians. This blog is not intended to provide medical, financial, or legal advice. Some payers may not agree with the advice given. This is not a substitute for current CPT and ICD-9 manuals and payer policies. All comments are moderated and will be removed if they violate our Terms of Use.