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CommercialBilling CodesMedium impact

Coding and Payment Guidelines/Modifiers

Blue Cross Blue Shield of Rhode Island·RI·Physician / Facility
Effective date
Jan 19, 2022
We identified it
Jun 19, 2026
Days to comply

Summary

BCBSRI updated their coding and payment guidelines to include new informational modifiers (-FQ, -FR, -FS, -FT) for split or shared E/M visits between physicians and facilities. These modifiers help identify when evaluation and management services are shared between different providers during the same patient encounter.

Action Required

Action needed
Billing team should review the updated payment policy linked in the notice to understand when to apply the new informational modifiers -FQ, -FR, -FS, and -FT for split E/M visits. Update billing software and encounter forms to include these modifier options when E/M services are shared between physicians and facilities.