Therefore, we estimate the removal of this measure will decrease burden by 3 hours (38 REHs 50 percent of REHs 0.167 hours) at a savings of $175 (3 hours $55.06/hour) for voluntary reporting for the CY 2025reporting period and 6 hours (38 REHs 0.167 hours) at a savings of $349 (6 hours $55.06/hour) annually for mandatory reporting beginning with the CY 2026 reporting period
However, reimbursement depends on medical necessity, documentation quality, payer policies, and NCCI edit compliance
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However, if distinct procedures are performed at separate anatomical sites with clear documentation, modifiers like 59 may be required to indicate separate services.
PMID: 11146367 Ng, F.M., et al