| APMA wants to assure state leadership that we are aware of Cigna Healthcare’s deeply disturbing and onerous new policy, “Reimbursement policy update—Evaluation and management codes billed with modifier 25 and minor procedures effective June 11, 2023.” Under the new policy, providers must submit office notes with claims submitted with E/M CPT© codes 99212, 99213, 99214, and 99215 and a 25 Modifier when a minor procedure is billed. If a provider fails to submit this supporting documentation, the claim will be denied. Cigna also shares instructions regarding how to submit these claims and the required documentation. | READ MORE > |
