News & Media

BCBSM changing the payment policy when evaluation and management services are billed with surgery

Wednesday, April 11, 2018

Evaluation and management, or E&M, services billed with modifier 25 will pay at 80 percent when billed with a surgery on the same day by the same provider, effective July 1, 2018. This reflects the modified effort to perform the service.

MSMS has a meeting next week with BCBSM to discuss this change. We will update membership on our discussions with the Blues.