New York
Provider Communications
Reimbursement policy update: Distinct Procedural Service, Modifiers 59 and XE, XP, XS, and XU - professional
Material Adverse Change (MAC)
Featured In:
July 2022 Newsletter
Beginning with dates of service on or after October 1, 2022, Empire BlueCross BlueShield 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 empireblue.com/provider.
Featured In:
July 2022 Newsletter