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.
Featured In:
March 2023 Anthem Provider News - Colorado