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Acceptable Procedure Code/Modifier Combinations

Posted Jun 08, 2023

Important information about deactivation of all references to invalid procedure code/modifier combinations that are in our claims system.

Effective Sept. 1, 2023, Healthfirst is updating internal systems to deny procedure code/modifier combinations that are specifically flagged as invalid or inactive. These changes are based on New York State Medicaid (NYSM), American Medical Association (AMA), and Centers for Medicare & Medicaid Services (CMS) guidelines. Learn more...