Optimum Healthcare policy
Modifiers 25 and 57: Evaluation and Management Services with Global Procedures - Professional
Modifiers 25 and 57: Evaluation and Management Services with Global Procedures - Professional is a public Optimum Healthcare policy (policy C- 09011, effective Mar 1, 2025). It lists 8 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Payer
- Optimum Healthcare
- Policy number
- C- 09011
- Effective
- Mar 1, 2025
- Line of business
- Commercial
- States
- VA
- Source
- www.anthem.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes.
| Code | Other Optimum Healthcare policies |
|---|---|
| 99211 | Policies naming 99211 |
| 99381 | Policies naming 99381 |
| 99397 | Policies naming 99397 |
| G0101 | Policies naming G0101 |
| G0102 | Policies naming G0102 |
| G0402 | Policies naming G0402 |
| G0438 | Policies naming G0438 |
| G0439 | Policies naming G0439 |