Do two things in one visit. Medicare wants to pay for 1.5

Fact checked by: Chris Mazzolini, A.C. Baltz

Medicare wants to pay half for the lesser service on same-day claims. Our new handbook works out what modifier 25 encounters stand to lose.

A dermatologist examines a patient, finds a suspicious lesion and biopsies it the same afternoon. Medicare pays for both services today. Under a proposal in the 2027 Medicare Physician Fee Schedule, one of them would pay half.