Policy Updates Reimbursement PoliciesCommercialAugust 17, 2018

Once per Lifetime Procedures – Professional

Anthem’s Once per Lifetime Procedures policy received a biennial review and we are removing modifier 58 from the policy.  Modifier 58 is used to report a staged or related procedure by the same physician during the postoperative period and would not be used for a once per lifetime procedure if that procedure was previously performed on the patient.