ASH Joins AMA Letter Responding to Proposed Changes to Modifier 25

In an August 27, 2026, letter, a coalition including the American Society of Hematology urges CMS to withdraw its proposed 50% payment reduction for lower-valued services when a separately identifiable office visit billed with modifier -25 occurs on the same day as a procedure, warning that the policy lacks supporting evidence and threatens independent practices and patient access. The coalition recommends addressing any demonstrated resource overlap through established, code-specific valuation processes rather than an across-the-board payment cut.