GY Modifier - BCBS

Tanya Leither 7 years ago in Industry News/Discussion updated 7 years ago 4

BCBS claims there was a provider bulletin in November that indicated in 2017 we could no longer get paid for billing a secondary BCBS with a GY modifier when the primary was not covering the provider as well. We can find nothing on this and BCBS could not produce a copy of it. Does anyone have info on this change?

I keep all my provider bulletins and did not find any from November about this topic.

I looked in November 2016 Provider Bulletin's and only found this one regarding an "EY Modifier" from December 2016.


Other than that, I have not heard of any changes with the GY modifier.

We will continue to bill with the GY modifier!!