Modifier 63: Procedure Performed on Infants Less Than 4 kg - Policy 06-015
May 1, 2019
• State & Federal / Medicare
Anthem allows reimbursement for surgery on neonates and infants up to a present body weight of 4 kg when billed with Modifier 63 at 100% of the applicable fee schedule or contracted/negotiated rate. Please note, the neonate weight should be documented clearly in the report for the service. Read more.
ABSCRNU-0006-19 March 2019 76050MUPENMUB
May 2019 Anthem Provider Newsletter - Colorado