Priority Will Deny Claims Submitted with CS Modifier

June 18, 2025

Background - In alignment with CMS policy, Priority required CS modifier use during the COVID-19 public health emergency (PHE) to waive member cost-sharing for Specified COVID-19 testing-related services that resulted in an order for, or administration of, a COVID-19 test, as well as preventive services provided via telehealth in Rural Health Clinics and Federally Qualified Health Centers 

The COVID-19 PHE ended on May 11, 2023, so Priority is now updating their system to reflect that. 

What you need to know - Providers can reference the following for more information: COVID-19 Public Health Emergency (US Department of Health and Human Services).