Reimbursement policy update: Modifier Rules (Professional)(MAC)

Material adverse change

 

Beginning with dates of service on or after October 1, 2022, Anthem Blue Cross and Blue Shield (Anthem) will update the Modifiers Impacting Adjudication code list to not allow reimbursement for CPT® code 99211 when appended with a modifier 25.

 

For specific policy details, visit the reimbursement policy page at anthem.com provider website.

 

MULTI-BCBS-COMM-002043-22-CPN1839