Effective 5/1/23 MVP insurance payer will start to reimburse 50% for the E&M code that represents the sick visit and is billed on the same day as the preventative E&M code.

The providers should expect this reduction to apply to the code even if the modifier 25 is appended on the sick E&M code.

This update in reimbursement applies to both NY and VT providers.

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