Help urge CMS to withdraw Medicare cuts to same-day care.
The Centers for Medicare and Medicaid Services (CMS) recently published the proposed rule for the Calendar Year (CY) 2027 Medicare Physician Fee Schedule, which included a proposed arbitrary 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.
Modifier 25 increases patient access to care by enabling physicians to manage multiple conditions in a single patient visit. This flexibility is particularly important for podiatrists, as their patients often present with multiple, unrelated foot conditions at the same time.
Take Action Today
Send a letter opposing the proposed cuts to same-day services to your member of Congress and to CMS by using APMA’s eAdvocacy alerts below: