Modifier 25: The Billing Code That Insurance Companies Keep Coming For

Welcome to the California Dermatology Advocacy Network's Derm Power Podcast!

Our host is Dr. Ann Haas, President, California Dermatology Advocacy Network (CDAN). During the episode Dr. Haas speaks with Dr. Margaret Parsons, Treasurer/Secretary, CDAN and Dr. Alexander Miller, Vice President, CDAN

Every few years, insurers take aim at Modifier 25 — and every time, dermatologists have to fight back. In this episode of DermPower, CDAN's Dr. Alex Miller and Dr. Margaret Parsons break down exactly what Modifier 25 is, why it matters, and how California has successfully pushed back against repeated attempts to undercut physician reimbursements. From a 2017 Anthem showdown to a just-resolved crisis in Michigan, the pattern is clear — and so is the playbook for fighting it.

You'll learn exactly what Modifier 25 is, why dermatologists use it more than any other specialty, and why the insurance industry keeps targeting it.

Essential listening for any dermatologist who wants to protect their practice and their patients.