Comparative Billing Reports

CBR201502: Modifiers 24 & 25: Specialty Surgeons

eGlobalTech (eGT) and Palmetto GBA developed and disseminated a national provider Comparative Billing Report (CBR) on specialty surgery providers' use of Modifiers 24 and 25 in February 2015. The CBR, produced by CMS contractor eGlobalTech, focuses on specialty surgeons (excluding general and orthopedic surgeons) who bill Evaluation and Management (E/M) services, 99211-99215, during the global period of a procedure and receive payment by appending Modifier 24 and/or Modifier 25 to the E/M service. Each CBR contains data-driven tables along with an explanation of findings that compare providers' billing patterns to those of their peers within their specialty.

CBR201502 analysis for Modifiers 24 & 25: Specialty Surgeons includes the following Current Procedural Terminology (CPT®) codes: 99211 -99215. The following link opens a document that contains a table of these codes and their code descriptions: CBR201502 Billing Codes