Cigna will not implement a paperwork demand that was criticized by the California Medical Association and American Medical Association.
The reimbursement policy would have required the submission of medical records for all evaluation and management claims with CPT 99212-99215 and modifier 25 when a minor procedure was billed.
The change was initially set to go into effect Aug. 13, but was delayed after the California Medical Association sent a letter to the payer arguing it would result in significant unnecessary administrative burden and compliance cost to physician practices. The CMA also expressed concerns that it would discourage physicians from providing unscheduled services and would create duplicate requests, wasting healthcare dollars.
After the delay, Cigna met with the California Medical Association and American Medical Association to discuss the policy further, the CMA said in a Sept. 27 news release. Since that meeting, Cigna has told the group that it "does not plan to move forward with implementation of this policy at this time."