CommercialDocumentationMedium impact
Modifier 22 updated claim form
Blue Cross Blue Shield of Rhode Island·RI·Provider Update
Effective date
Sep 1, 2018
We identified it
Jun 20, 2026
Summary
BCBS Rhode Island updated the Modifier 22 Unusual Procedural Service Form and created new policy to clarify reimbursement determination criteria. Providers must begin using the updated form for all Modifier 22 claims to document unusual procedural services.
Action Required
By September 1, 2018: Billing team and providers must download and begin using the new Modifier 22 Unusual Procedural Service Form from the BCBS RI website for all claims requiring Modifier 22. Update billing workflows to ensure the updated form is completed and submitted with relevant claims to meet new reimbursement criteria.