The reimbursement policy requires the submission of medical records with all evaluation and management claims with CPT 99212-99215 and modifier 25 when a minor procedure is billed, according to a July 12 news release from the California Medical Association.
Cigna is delaying the policy while it is under additional review. It will no longer go into effect Aug. 13 as planned.
Read more about the reimbursement policy here.
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.
