ASRA Pain Medicine joined with AMA and other specialty medical societies to comment on a letter regarding Cigna’s modifier 25 policy. While we have not received a formal reply from Cigna, we are aware they are delaying the implementation.

Cigna updated their modifier 25 policy to announce a delay in implementing the required submission of documentation to support the use of modifier 25 when billed with E/M CPT codes 99212 – 99215 and a minor procedure.

Here are the details regarding its announced delay:

• Cigna is currently reevaluating this reimbursement policy update, which will delay implementation.
• Cigna will look to implement this policy later, when it can optimize the provider experience and perform additional provider education in partnership with key national medical associations.
• Cigna will communicate a new implementation date and additional details later.
• Cigna appreciates your partnership and patience and looks forward to working more collaboratively with provider partners, medical associations, and their membership to ensure that modifier 25 is used appropriately and in alignment with national guidelines and industry standards.

   

We will update you with any additional information when it becomes available.