Three significant changes that will affect reimbursement rates go into effect January 1, 2026:
Conversion factor changes
Relative Value Unit (RVU) efficiency adjustment
Practice Expense changes
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tci ED Coding & Reimbursement Alert - 2003 Issue 10
Reader Question: Don't Report Splinting for Ace Wrap
Question: A patient presented in the ED with a diagnosis of "ankle sprain." The ED documentation states that the patient received an x-ray and that the physician found no fracture. The ED physician also applied Ace wrap and examined the ankle postapplication, noting that N/V was intact and the bone was properly aligned. In addition to reporting the appropriate E/M code with modifier -25 (Significant, separately identifiable E/M service ...), would I be correct to code the application of the Ace wrap? New Mexico SubscriberAnswer: When you code the physician's services, application...
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