Tell Medicare how this rule would affect your care

What CMS-1848-P would change

The Centers for Medicare & Medicaid Services has proposed applying its “multiple procedure” payment rule to office visits billed with modifier 25 on the same day as a procedure with a 0-, 10-, or 90-day global period. In practice: when a visit and a same-day procedure are billed together, Medicare would pay the more expensive of the two in full — and the other at just 50% of the normal rate.

For most specialties this is a narrow provision. For dermatology, it lands squarely on routine care: a patient comes in for a concerning spot, and the dermatologist biopsies, freezes, or removes it during that same visit rather than asking the patient to come back. That’s the standard of care precisely because it catches skin cancer earlier and spares patients an extra trip. A rule that pays less for doing it this way risks pushing care toward unnecessary follow-up visits — more delay and more cost for patients, not less.

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