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The latest issue of Part B News returns to a topic that is currently roiling the provider community: CMS' proposal to slash fees for modifier 25-appended claims by up to 50% for some services. The proposal, as recent analysis shows, has massive billing and payment implications.
 
Take note if your practice treats chronic pain caused by carpal tunnel syndrome, Morton’s neuroma, osteoarthritis of the knee, trigeminal neuralgia and more: Practices in 38 states need to prepare for new coverage guidelines for these and other conditions before the end of October.
 
In a preview of the 2027 CPT code set, the AMA announced 453 total editorial changes, including 299 new codes across medical, surgical and diagnostic services that will be debuting Jan. 1, 2027.
 
 
CMS wants to diminish payments for claims submitted with modifier 25 by 50% in some cases, and providers and others in the medical practice community are not pleased.
 
The fee cut, which "undermines patient-centered care," would be "disastrous," according to public comments shared with CMS in response to the proposed 2027 Medicare physician fee schedule.
 
 
For orthopedic coders, questions around arthroplasties and joint fusions can prove challenging. Dig into the following questions and answers that were presented during the 2025 virtual Advanced Specialty Coding Summit: Orthopedics to gain clear guidance.
 
And don’t miss out on the upcoming 2026 virtual Advanced Specialty Coding Summit: Orthopedics taking place Nov. 10-12 to discover the ins and outs of orthopedic coding – and clear up your musculoskeletal coding questions.
 

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