Prior to the pandemic, Medicaid program coverage of audio-only telehealth services was limited. During the early stages of the pandemic, Medicaid beneficiaries were significantly less likely to ...

The modifiers below are approved modifiers for use with peripheral block procedures. Payment will only be made once during an episode of care. Modifier -59 is required to distinguish the block from ...

Modifier -73 — CPT guidelines state that the physician may cancel a surgical or diagnostic procedure subsequent to the patient’s surgical preparation (including sedation when provided, and being taken ...

More than 100 medical associations have taken issue with a new policy from Cigna regarding claims coded with modifier -25. Cigna is coming under fire for its new policy requiring submission of office ...