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The ACR strongly opposes these changes and believes that providers should be reimbursed appropriately and in accordance with the Current Procedural Terminology coding guidelines when performing significant, separately identifiable and medically necessary E/M services on the same day as a procedure.
The ACR is currently engaged in direct outreach to payers and is also partnering with a coalition of other specialty societies to push back against these policies. At the AMA House of Delegates meeting in November, the ACR joined with a number of other organizations to support a resolution directing AMA to advocate to ensure that when an E/M code is appropriately reported with a modifier 25, that both the procedure and E/M codes are paid at the non-reduced, allowable payment rate.
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