Reimbursement policy update: Distinct Procedural Services Modifiers 59, XE, XP, XS, XU (Professional)

Beginning with dates of service on or after December 1, 2020, the nonreimbursable section will be updated to include “When multiple related procedures are performed on the same anatomical digit, by the same provider, during the same operative session.  Modifiers FA, F1-F9 and TA, T1-T9 should be appended to applicable site specific services”.

 

For more information about this policy, visit the Reimbursement Policy page on our anthem.com/provider website.

 

632-0920-PN-GA