Policy Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

Notice of material change/amendment to contract

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

Beginning with dates of service on or after February 1, 2025, we 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 is being renamed from Distinct Procedural Service: Modifiers 59 and XE, XP, XS, and XU.

For specific policy details, visit the Maine reimbursement policy page.

Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of Maine, Inc. Independent licensee of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

MEBCBS-CM-069747-24

ATTACHMENTS: ME Modifier 59 Distinct Proc Srv BCBS RL 08062024 (pdf - 0.22mb), ME Modifier 59 Distinct Proc Srv Clean 08062024 (pdf - 0.21mb), ME_ Mod 59 XE, XP, XS, or XU. (J1202_G0138 (pdf - 0.39mb)

PUBLICATIONS: November 2024 Provider Newsletter