Material Adverse Change (MAC)


Beginning with dates of service on or after October 1, 2022, Empire BlueCross BlueShield (Empire) will update the Modifiers Impacting Adjudication code list to not allow reimbursement for CPT® code 99211 when appended with a modifier 25.


For specific policy details, visit the Reimbursement Policy page at



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July 2022 Newsletter