Reimbursement policy update — Modifiers 59 and XE, XP, XS, and XU: Distinct Procedural Service — Professional

Beginning with dates of service on or after January 1, 2025, Anthem will update the Modifiers 59 and XE, XP, XS, and XU: Distinct Procedural Service — Professional reimbursement policy Related Coding section to add the following:

• J1202 will deny when reported with G0138

In addition, the policy title was renamed from Distinct Procedural Service: Modifiers 59 and XE, XP, XS, and XU.

For specific policy details, visit reimbursement policy.

Through our efforts, we can help our care provider partners deliver high-quality, equitable healthcare.