April 3, 2025
The following policies received their annual review with no changes:
- Consultation code Services
- Modifier 23
- Modifier 57
- Modifier 63
- Modifier 66
- Modifier 76
- Modifier 77
- Multiple Deliveries/Births
- Modifier TH
- Multiple Endoscopy Procedure Reductions
The following policies received their annual review with the changes noted below:
- Multiple Diagnostic Imaging Reductions
- From the policy section: Revised the Multiple Procedures Rendered During the Same Session statement; removing the combined claims process and advising these services should be billed on the same claim
- Modifier CQ and CO
- From the policy section removed “This 10 percent standard is also known as the "de minimis" standard as established by the Center for Medicare & Medicaid Services (CMS) CY 2022 final rule.” As the 10% rule was replaced by the standard “mid-point” rule for timed codes and added “the mid-point of the service (e.g., at least 8 minutes of a 15 minute service).”