Reimbursement policy update: Modifiers 25 and 57 - Professional

Effective March 1, 2023, the Modifiers 25 and 57: Evaluation and Management with Global Procedures reimbursement policy will be renamed Modifiers 25 and 57 - Professional. Additionally, the Nonreimbursable section of the Modifiers 25 and 57 policy was updated to indicate that CPT^® code 99211 is not eligible for reimbursement when billed with modifier 25. This update was previously communicated in the July 2022, edition of the Provider News article titled Reimbursement policy update: Modifier Rules – Professional.

For specific policy details, visit the Reimbursement Policy page at the Empire BlueCross BlueShield provider website.