October 2019
Physical, occupational and speech therapy claims require appropriate modifier
Blue Cross Blue Shield of Michigan is updating the claims processing system to require all outpatient physical, occupational and speech therapy claims to be billed with one of the following therapy modifiers:
Once the update is complete, the claims processing system will reject all professional outpatient therapy services submitted without an appended modifier. Therapy providers are encouraged to begin billing with the modifiers as soon as possible.
The system update is expected to be completed in early 2020. We’ll notify you of the effective date through web-DENIS and a future issue of The Record.
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