Reimbursement policy update - Modifiers 25 and 57 

In the April 2023 edition of the Provider News, we announced the Modifiers 25 and 57 reimbursement policy will not allow reimbursement for CPT^® code 99211 when appended with Modifiers 25, effective for dates of services on or after June 1, 2023. 

However, this notification was sent by mistake, and Anthem Blue Cross and Blue Shield will allow separate reimbursement for 99211 when appended with Modifier 25.  

For additional information, please review the Reimbursement Policy name and Hyperlink reimbursement policy at https://providers.anthem.com/in