Reimbursement policy update: Modifiers 25 and 57 - Professional
Mar 1, 2023
• Policy Updates / Reimbursement Policies
Effective March 1, 2023, the Modifiers 25 and 57: Evaluation and Management with Global Procedures
reimbursement policy will be renamed Modifiers 25 and 57 - Professional
. Additionally, the Nonreimbursable
section of the Modifiers 25 and 57
policy was updated to indicate that CPT®
code 99211 is not eligible for reimbursement when billed with modifier 25. This update was previously communicated in the July 2022, edition of the Provider News
article titled Reimbursement policy update: Modifier Rules – Professional.
For specific policy details, visit the Reimbursement Policy page at the Anthem Blue Cross and Blue Shield provider website.
March 2023 Anthem Provider News - Colorado