Reimbursement policy reminder: Multiple Surgery — Facility

As a reminder, and as previously communicated through mailed letters to its participating facilities on September 24, 2021, Anthem allows reimbursement for only the primary, or highest valued, procedure when multiple or bilateral procedures are performed on the same day or same session and at the same place of treatment when billed by a facility. A single surgical procedure is subject to multiple procedure reduction guidelines when submitted with multiple units.

For specific Multiple Surgery — Facility reimbursement policy details, visit the Reimbursement Policies page at https://tinyurl.com/3uyvw8ws.

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