eGlobalTech (eGT) and Palmetto GBA developed and disseminated a national provider Comparative Billing Report (CBR) in April 2016 on general surgeons' use of Modifiers 24 & 25. The CBR focuses on general surgeons who submitted claims for established patient evaluation and management services appended with modifiers 24 and/or 25. The report contains data-driven tables with an explanation of findings that compare these providers’ billing and payment patterns to those of their peers in their state and across the nation.
CBR201606 analysis for Modifiers 24 & 25: General Surgeons includes the following Current Procedural Terminology (CPT®) codes:
|CPT® Code||Abbreviated Description|
|99211||Minimal Problem/Exam, typical time 5 minutes|
|99212||Problem Focused/Exam, typical time 10 minutes|
|99213||Expanded Problem Focused/Exam, typical time 15 minutes|
|99214||Detailed Patient History/Exam, typical time 25 minutes|
|99215||Comprehensive Patient History/Exam, typical time 40 minutes|