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Modifier 25 and Modifier 59 Frequently Asked Questions (FAQ)

April 26, 2018

A Modifier 25 and 59 FAQ has been added to the Blue Cross and Blue Shield of Texas provider website and can be found in the Claims and Eligibility section under Claims Filing Tips - Submitting Claims. This FAQ defines modifiers 25 and 59, provides an effective date for the recent modifier validation in our coding software, and provides information and direction if a provider receives a denial resulting from the modifier review.

If you have any further questions, please contact your Network Management Representative.