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

A new Physicians Practice handbook breaks down Medicare's proposed 2027 same-day E/M cut and what modifier 25 claims stand to lose.

A physician examines a patient, finds a lesion and removes it the same afternoon. Today Medicare pays for both services. Under a proposal buried in the payment methodology section of the 2027 Medicare Physician Fee Schedule, one of them would pay half.