Cigna Delays Modifier 25 Policy Implementation

Last Updated: May 25, 2023

Cigna is delaying the implementation of the policy that would have required the submission of medical records when using Modifier 25 for all evaluation and management claims billed with CPT codes 99212-99215 and a minor procedure. The policy was set to take effect May 25, 2023.  This is the second delay in implementation. 

Cigna will look to implement this policy later, when it can optimize the provider experience and perform additional provider education in partnership with key national medical associations.  A new implementation date and additional information will be provided at a later date, and we will keep you informed as they are received