G2211 and E/M With Modifier 25
This update applies to our Medicare members.
Effective October 1, 2024, consistent with the Centers for Medicare & Medicaid Services (CMS) published coding guidance, code G2211 will deny when billed on the same date of service as an office and outpatient E/M visit when reported with modifier 25, for the same patient by the same physician or non-physician practitioner.
Aetna's July 2024 OfficeLink Update is Available HERE.
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