Reimbursement policy update: Distinct Procedural Service, Modifiers 59 and XE, XP, XS, and XU - Professional
Beginning with dates of service on or after October 1, 2022, Anthem will implement the following:
- 96365, 96369, 96372, 96373, 96374, 96379 will deny when reported with 78265, 78830 or 78835
- 95957 will deny when reported with 95700 on the same day
- reference to ‘subsequent dates of service’ was removed from this code pair
For specific policy details, visit the reimbursement policy page at www.anthem.com/provider.
July 2022 Anthem New Hampshire Provider News