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Coding

HCPCS, ICD-10, modifiers and the rules around them.

6 min read

Modifier 25 in 2026: The Rules Changed, and Not in Your Favor

Modifier 25 has always carried audit risk. Now it carries payment risk too. Several payers reduce the E/M reimbursement on modifier 25 claims automatically, regardless of how well documented they are, which is a different problem from a denial and needs a different response. Plus the same-diagnosis myth that costs practices money in both directions.

5 min read

POS 02 vs POS 10: Which Telehealth Place of Service Code to Use

Medicare wants POS 02 or 10 and no modifier. Most commercial payers want POS 11 with modifier 95. Getting the two confused is one of the most common telehealth denials, and the wrong POS also costs you money. Here is how to decide, and what to verify with your own payers.