Reimbursement policy update: Distinct Procedural Service, Modifiers 59, XE, XP, XS, XU - professional*
*Notice of Material Amendment/Change to Contract (MAC)
Beginning with dates of service on or after October 1, 2022, Anthem Blue Cross and Blue Shield 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:
- The reference to subsequent dates of service was removed from this code pair.
For specific policy details, visit the reimbursement policy page at anthem.com provider website.
July 2022 Anthem Provider News - Ohio