| Modifiers PN and PO: Off-Campus Provider-Based Hospital Outpatient | G-26002 · Effective Jan 1, 2027 · Medicaid · NV | 5 | Original policy ↗ |
| Place of Service - Facility | C-15004 · Effective Feb 1, 2023 · Commercial · ME | 8 | Original policy ↗ |
| Consultation Services – Professional | C-09010 · Effective Dec 29, 2023 · Commercial · CO, CT, GA, IN, KY, MO, NH, NV, OH, WI | 10 | Original policy ↗ |
| Consultation Services – Professional | C-09010 · Effective Dec 29, 2023 · Commercial · ME | 10 | Original policy ↗ |
| Consultation Services – Professional | C-09010 · Effective Mar 1, 2025 · Commercial · VA | 10 | Original policy ↗ |
| Consultation Services – Professional | C-09010 · Effective Oct 1, 2026 · Commercial · CA | 10 | Original policy ↗ |
| Facility Guidelines for Claims Related to Professional Services – Facility | C-15004 · Effective Apr 1, 2026 · Commercial · CA | 10 | Original policy ↗ |
| Facility Guidelines for Claims Related to Professional Services - Facility | C-15004 · Effective Jan 1, 2027 · Commercial · CA | 17 | Original policy ↗ |
| Facility Guidelines for Claims Related to Professional Services - Facility | C-15004 · Effective Dec 1, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 19 | Original policy ↗ |
| Laboratory and Venipuncture Services - Professional and Facility | C-21010 · Effective Mar 1, 2025 · Commercial · VA | 24 | Original policy ↗ |
| Laboratory and Venipuncture Services - Professional and Facility | C-21010 · Effective Apr 1, 2026 · Commercial · CA | 24 | Original policy ↗ |
| Laboratory and Venipuncture Services – Professional and Facility | C-21010 · Effective Aug 6, 2024 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 32 | Original policy ↗ |
| Modifiers 59 and XE, XP, XS, and XU: Distinct Procedural Service - Professional | C-09006 · Effective Mar 15, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 187 | Original policy ↗ |
| Bundled Services and Supplies - Professional | C-08003 · Effective Dec 1, 2025 · Commercial · VA | 341 | Original policy ↗ |
| Bundled Services and Supplies - Professional | C-08003 · Effective Jul 1, 2026 · Commercial · CA | 341 | Original policy ↗ |
| Bundled Services and Supplies - Professional | C-08003 · Effective Jan 1, 2027 · Commercial · CA | 360 | Original policy ↗ |
| Bundled Services and Supplies - Professional | C-08003 · Effective Jun 24, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 390 | Original policy ↗ |
| Colorado • Commercial HEDIS measurement year 2023–2024 | Commercial · CO | 451 | Original policy ↗ |
| HEDIS measurement year 2023–2024 | Commercial, Medicaid · CA | 451 | Original policy ↗ |
| HEDIS measurement year 2023–2024 | Commercial · CT | 451 | Original policy ↗ |
| HEDIS measurement year 2023–2024 | Commercial · GA | 451 | Original policy ↗ |
| HEDIS measurement year 2023–2024 | Commercial, Medicaid · IN | 451 | Original policy ↗ |
| HEDIS measurement year 2023–2024 | Commercial · ME | 451 | Original policy ↗ |
| HEDIS measurement year 2023–2024 | Commercial · MO | 451 | Original policy ↗ |
| HEDIS measurement year 2023–2024 | Commercial, Medicaid · NV | 451 | Original policy ↗ |
| HEDIS measurement year 2023–2024 | Commercial · NH | 451 | Original policy ↗ |
| HEDIS measurement year 2023–2024 | Commercial, Medicaid · VA | 451 | Original policy ↗ |
| HEDIS measurement year 2023–2024 | Commercial, Medicaid · WI | 451 | Original policy ↗ |
| HEDIS Measurement Year (MY) 2020 Physician documentation guidelines and administrative codes | OH | 567 | Original policy ↗ |