Advocacy & Practice Updates — Clinical Updates

ASRS Opposes Cuts When an E/M Code is Billed With Modifier -25

The ASRS sent Blue Cross Blue Shield of California a letter opposing a new policy, taking effect July 15, 2024, that will cut payment for office visits by 50% when billed with Modifier -25. This policy is inconsistent with CMS's valuation of Evaluation & Management codes when performed on the same day as procedures. The ASRS continues to work with the AMA and other state and specialty organization to oppose such policies nationally.

(Published 5.22.24)