CMS recently published the proposed rule for the Calendar Year (CY) 2027 Medicare Physician Fee Schedule, which included a proposed 50% cut for services reported on the same day with Modifier 25. The proposal contradicts longstanding National Correct Coding Initiative (NCCI) and CPT® policies, undermines appropriate payment for separately identifiable evaluation and management (E/M) services, and threatens practice sustainability and patient access. APMA has set up ways you can help fight this proposal online using our eAdvocacy Action Center:
- Tell Your Members of Congress to Urge CMS to Withdraw the Proposed Modifier 25 Payment Cuts
- Tell CMS to Protect Payment for Modifier 25 Services
Make your voice heard today and tell your members of Congress and CMS directly to withdraw this proposal! Remember to use actual examples from your practice because these resonate most with legislators and policymakers.
