Colonoscopy with Modifier 59
The guidelines formerly displayed under this policy are now included under revised reimbursement policy Distinct Procedural Service Modifiers (59, XE, XP XS XU).
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- Modifier 25
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- Modifier 52
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- Multiple Procedure Reductions
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- Non-ESRD ESA Level Reporting
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- Bundled Services
- Lab codes when billed with other services
- Revenue Codes Requiring HCPCS Codes
- Typically packaged codes
- Outpatient Laboratory Claims: Referring Practitioner Required
- Outpatient Therapy Daily Maximum
- Physician Extenders Non-Surgical Services
- Pre-Admission Testing
- Pre-Payment Documentation Requests: Facility Claims
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- Pulmonary Diagnostic Procedures when billed with E&M Codes
- Radiology, Preliminary and Double Reads
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- Reimbursement and Billing Guidelines for Anesthesia Claims
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- Screening and Diagnostic Mammography & 3D Tomosynthesis
- Site of Service Differential
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- Telemedicine Services Reimbursement Policy: Temporary Addendum for Horizon BCBSNJ Commercial/ASO plans and products
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- Urgent Care Center Billing Requirements
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- Urine Drug Screening/Testing
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- Utilization ManagementUtilization Management
COVID-19
Stay informed.
Get the latest information on COVID-19.
Get the latest information on COVID-19.