KZA Alert: Modifier 25 Reduction - BCBS Michigan and FEP Policy Update
Blue Cross Blue Shield of Michigan and Blue Care Network are implementing a major reimbursement change for E/M services billed with Modifier 25; these changes also apply to the Federal Employee Program. In this KZA Alert, we break down what’s changing, who’s affected, and what practices need to do now to prepare for the May 1, 2026 effective date. Links to the full policy and source materials are available below:
Full Modifier 25 Reimbursement Policy
Full Modifier 25 Reimbursement Policy
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Olivia Wolf
Olivia J. Wolf, MBA, CPC, is a seasoned healthcare executive with more than 25 years of experience across medical coding, revenue cycle, clinical operations, practice administration, and business development.