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Modifier Policies to be Implemented

Effective June 1, 2015, Horizon Blue Cross Blue Shield of New Jersey will change how certain claims that include procedure codes appended with modifiers 52, 53, 54, 55, 56 and 73 are reimbursed.

Claims for services provided on and after June 1, 2015 to members enrolled in any Horizon BCBSNJ plan will be processed and reimbursed according to the following modifier reimbursement policies:

Unless Horizon BCBSNJ gives written notice that all or part of the changes noted in the above-listed reimbursement policies have been cancelled or postponed, the changes will be applied to claims for dates of service June 1, 2015 and after.

Published on: March 2, 2015, 12:00 p.m. ET
Last updated on: November 24, 2020, 23:30 p.m. ET