Reimbursement policy update - Modifiers 25 and 57: Evaluation and Management with Global Procedures

Policy Update

Modifiers 25 and 57: Evaluation and Management with Global Procedures

(Policy G- 06003)

 

Please note, this communication applies to Anthem HealthKeepers Plus, Medallion and Anthem HealthKeepers Plus, Commonwealth Coordinated Care Plus (Anthem CCC Plus) offered by HealthKeepers, Inc.

 

The current Modifier 57: Decision for Surgery is retired and is combined with Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service for HealthKeepers, Inc. The new combined policy title is Modifiers 25 and 57: Evaluation and Management with Global Procedures.

 

For additional information, please review the Modifiers 25 and 57: Evaluation and Management with Global Procedures reimbursement policy at https://providers.anthem.com/va.

 

VAHK-CAID-002557-22-CPN2420