Heel pain gets laterality, BRCA gets its own code and liver fibrosis gets a middle stage. These are the FY 2027 additions your physicians will reach for.
Blog|Articles|August 20, 2026 (Updated: August 25, 2026)
Do two things in one visit. Medicare wants to pay for 1.5
Author(s)Keith A. Reynolds
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.
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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.
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