CommercialBilling CodesMedium impact
03.00.31g, Modifiers for Split or Shared Surgical Services (Modifiers 54, 55, and 56)
Independence Blue Cross·General Surgery, Orthopedics, Cardiothoracic Surgery +7 more·Medical Policy
Effective date
Apr 16, 2025
We identified it
Jun 19, 2026
Summary
Independence Blue Cross has reissued their policy on split/shared surgical services modifiers 54, 55, and 56. This appears to be a policy reissuance rather than substantive changes, but billing teams should review the updated guidance to ensure proper use of these modifiers for surgical care coordination.
Action Required
By April 16, 2025: Billing team must review the updated policy at the provided URL to understand any changes to modifiers 54, 55, and 56 usage requirements. Update billing system rules and staff training materials for split/shared surgical services billing. Ensure proper modifier application to avoid claim denials.