Ophthalmology and Optometry Coding Alert

Modifier 25:

Medicare Could Make Modifier 25 Pay Difficult With These Eye Procedures

  Fee Schedule proposal aims to revalue certain services when billed with modifier 25. If you’re accustomed to collecting for both an E/M and conjunctival injections when performed on the same date, you may want to prepare for an adjustment—which will be necessary if CMS finalizes the 2017 Medicare Fee Schedule Proposal. On July 7, CMS published the proposed fee [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more