CommercialReimbursementHigh impact
New modifier 25 policy implementation paused
BCBS Michigan·MI·Coding
We identified it
Jun 16, 2026
Summary
Blue Cross Blue Shield of Michigan and Blue Care Network have paused implementation of a new policy that would have reduced reimbursement by 50% for E/M codes with modifier 25 billed on the same date as minor procedures. The policy was scheduled to take effect May 1, 2026 but implementation is now paused.
Action Required
Immediately: Review current billing practices for E/M codes with modifier 25 billed same-day as minor procedures. Monitor for future communications from BCBS Michigan regarding when/if this policy will be implemented. Continue current billing practices for modifier 25 scenarios until further notice.