Reimbursement policy update: Distinct Procedural Service, Modifiers 59, XE, XP, XS, XU - professional*
*Material Adverse Change (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.
July 2022 Anthem Provider News - Wisconsin