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CommercialDocumentationMedium impact

Modifier 22 updated claim form

Blue Cross Blue Shield of Rhode Island·RI·Provider Update
Effective date
Sep 1, 2018
We identified it
Jun 20, 2026
Days to comply

Summary

BCBS Rhode Island has updated the Modifier 22 Unusual Procedural Service Form and created new policy documentation clarifying reimbursement criteria. Providers must begin using the new form for all Modifier 22 claims starting September 1, 2018.

Action Required

Action needed
By September 1, 2018: Billing team must obtain and begin using the new BCBS RI Modifier 22 Unusual Procedural Service Form for all claims requiring modifier 22. Update billing procedures to include the new documentation requirements and ensure staff are trained on the updated reimbursement criteria.

Affected Billing Codes

22