Comparative Billing Reports

CBR201613: Modifier 25: Obstetrics/Gynecology (OB/GYN)

eGlobalTech (eGT) and Palmetto GBA developed and disseminated a national provider Comparative Billing Report (CBR) in September 2016 on Modifier 25: Obstetrics/Gynecology (OB/GYN). The CBR focuses on obstetricians and gynecologists 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.

CBR201613 analysis for Modifier 25: OB/GYN includes the following Current Procedural Terminology (CPT®) codes:

CPT® Code

Abbreviated Description

Typical Time

99211

Minimal Problem/Exam

  5 Minutes

99212

Problem Focused/Exam

10 Minutes

99213

Expanded Problem Focused/Exam

15 Minutes

99214

Detailed Patient History/Exam

25 Minutes

99215

Comprehensive Patient History/Exam

40 Minutes