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Updates to Modifier 59

May 24, 2010

Effective June 14th, 2010, Blue Cross and Blue Shield of Oklahoma (BCBSOK) will make updates to the Modifier 59 exempt code pair logic through our code auditing tool, ClaimCheck®. These changes are based on the updates to the CMS National Correct Coding Initiative (NCCI) code auditing system.  Additionally, BCBSOK will be upgrading to McKesson ClaimCheck Version 45 effective July 26th 2010 for all lines of business.  For further information about current bundling methodologies, or to request specific code-to-code bundling, you may utilize Clear Claim Connection™ (CCC or "C3"), a Web-based code auditing reference tool available to all independently contracted BCBSOK providers. To obtain access to C3, you must register with Availity®.



View 2010 Provider News and Updates