99212 - Terminology (CPT®) codes , , , and and modifier 25 when a minor

medicine, professional society recommendations, Centers for Medicare & Medicaid Services - Evaluation and Management Codes with Modifier 25 Cigna will require the submission of office notes on claims submitted with evaluation and management (E&M) Current Procedural Terminology (CPT®) codes 99212, 99213, 99214, and 99215 and modifier 25 when a minor procedure is billed. The E&M line will be denied if documentation that supports that a significant and separately identifiable service is not provided. Denials will include administrative appeal

• Confirm benefit details
• Submit clinical notes if requested by the plan

• Confirm the current plan policy before submission.
• Use the insurer authorization workflow for this listed code.