Comparative Billing Reports

CBR201611: Modifier 25: Physician Assistant

eGlobalTech (eGT) and Palmetto GBA developed and disseminated a national provider Comparative Billing Report (CBR) in July 2016 on physician assistants' use of modifier 25. The CBR focuses on physician assistants (specialty 97) who submitted claims for established patient evaluation and management (E/M) services appended with modifier 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.

CBR201611 analysis for Modifier 25: Physician Assistant includes the following Current Procedural Terminology (CPT®) codes: 99211, 99212, 99213, 99214, 99215. The following link opens a document that contains a table of these codes and their code descriptions: CBR201611 Billing Codes