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Cigna delays modifier 25 policy


Banner image for Impact Report, Cigna delays modifier 25 policy

As a direct result of AADA advocacy efforts, Cigna delayed the implementation of a burdensome policy requiring dermatologists to submit documentation to use modifier 25 when billed with E/M CPT® codes 99212 – 99215 and a minor procedure. The policy would have gone into effect May 25 in most states and June 11 in select states. However, Cigna will delay implementation indefinitely.

The AADA has advocated relentlessly with Cigna to rescind or revise this policy and worked with the American Medical Association (AMA) and other medical societies to delay this policy.