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.

 

MULTI-BCBS-COMM-002032-22-CPN1910