AADA, state derm societies fight modifier 25 policy change with BCBSA, at AMA

November 13, 2017

The American Academy of Dermatology Association (AADA) and state dermatologic societies today sent a letter to the Blue Cross Blue Shield Association (BCBSA) highlighting concerns with BCBSA member plans' proposal to reduce reimbursement for modifier 25 in several states effective January 1, 2018. To read the letter, click here.

Additionally, the American Medical Association (AMA) House of Delegates will be voting on a resolution that addresses insurers' attempts to reduce reimbursement for modifier 25. The AADA has led the efforts in drafting the resolution, which calls on the AMA to urge insurers to comply with accepted CPT coding and reimbursement guidelines.

The Academy has developed a number of resources for members on appropriate usage and documentation of modifier 25. To sign up for updates on modifier 25 advocacy efforts, fill out the form here.