Wiki Revision to Modifier 25 Policy for CIGNA

[dballard2004]

CIGNA has announced a major update to their policy regarding the use of modifier 25. Effective 05/25/2023 Cigna will require the submission of documentation to support the use of modifier 25 when billed with E/M CPT® codes 99212 – 99215 and a minor procedure.



I have attached the revised policy for your review.

 

[natashalage]

Wow, this is huge! I am not working on denials but I will definitely inform my manager to notify the appropriate department. Thank you very much, Dawson, for sharing this information with us!! Keep the news coming.