Laboratory and Venipuncture Services and Modifier Rules (Aug. 2016) for Anthem BCBS

In Anthem’s policies dated August 22, 2016, they are removing information that modifier 91 (repeat clinical diagnostic laboratory test) will override frequency limits for drug screen testing. Their Frequency Editing reimbursement policy currently documents that modifiers will not override frequency limits identified in the policy, including but not limited to, drug screen testing.

Source: https://www.anthem.com/provider/noapplication/f1/s0/t0/pw_g255330.pdf?refer=ahpprovider&state=in