CommercialBilling CodesMedium impact
03.00.15p, Modifier 24: Unrelated Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional During a Postoperative Period
Independence Blue Cross·General Surgery, Orthopedics, Neurosurgery +8 more·Coding
Effective date
Mar 5, 2025
We identified it
Jun 19, 2026
Summary
IBX has reissued policy 03.00.15p regarding Modifier 24 for unrelated E&M services during postoperative periods. This is a commercial policy update that became effective March 5, 2025, affecting how providers bill for evaluation and management services that are unrelated to a surgical procedure during the global surgical period.
Action Required
Immediately: Review updated IBX policy 03.00.15p for Modifier 24 usage requirements. Billing team should verify current procedures for applying Modifier 24 to unrelated E&M services during postoperative periods align with the reissued policy. Update billing software rules and provider documentation if needed to ensure compliance with IBX commercial plan requirements.