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 E/M Coding Alert - 2016 Issue 5
Reader Question: Consider Modifier CR When Disaster Occurs
Question: I’ve been reading through the latest CPT® book, and I happened upon modifier CR (Catastrophe/disaster related). Are there specific rules for reporting E/M services with modifier CR, and what qualifies as a catastrophe, for coding purposes?
Louisiana Subscriber
Answer: When a disaster strikes and you have to treat patients affected by the event, be sure you’re coding properly. Modifier CR is for use only in very specific situations, and federal declarations of a disaster must precede any use of modifier CR for your E/M services.
Explanation: Depending on the extent and circumstances surrounding the disaster, it...
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