The Centers for Medicare and Medicaid Services (CMS) recently finalized an arbitrary 20% cut for services reported on the same day with Modifier 25 in the Calendar Year (CY) 2027 Medicare Physician Fee Schedule. The policy 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. We need Congress to pass a temporary moratorium on the finalized 20% payment reduction for same-day services appropriately reported with Modifier 25 to ensure Congress and CMS have enough time to fully evaluate the policy's consequences for physicians and Medicare beneficiaries.

Take Action:

DPMs: Tell Congress to Stop Finalized Medicare Cuts to Same-Day Services

Patients: Tell Congress to Stop Finalized Medicare Cuts to Same-Day Services

Podiatric Students: Tell Congress to Stop Finalized Medicare Cuts to Same-Day Services