CommercialJuly 1, 2025
Reimbursement policy update: Bundled Services and Supplies — Professional
Beginning with dates of service on or after October 1, 2025, sections 1 and 2 of the Bundled Services and Supplies — Professional reimbursement policy will be updated as indicated below.
Section 1: Services and supplies not eligible for separate reimbursement:
- Addition of categories for existing always bundled services to improve clarity and readability, while maintaining uncategorized codes in a table format
- Addition of new codes G9038, Q0521, 0902T, 0903T, 0904T, 0905T, 0945T uncategorized codes in a table format
- Addition of new category: CMS MPFS RVU Status M Indicator codes
- Removal of retired codes 15850, 99339, 99340, M0003, M1000‑M1002, M1015, M1017, M1022‑M1026, M1030‑M1031, M1033, M1042, M1044, M1047‑M1048, M1050, M1053, M1061‑M1066, M1071, M1154‑M1158. Q0516‑Q0520
Section 2: Procedures, services and supplies not eligible for separate reimbursement when reported with another specific procedure, service, or supply:
- Removal of telehealth originating site facility fee (Q3014) when reported with an E&M code in place of service 11 this is included in the Virtual Visits (C‑08002)
- Removal of J3490 when billed in place of service 19, 21, 22, 23, 24, 25, 31, 32, 33, 51, 52, 61, 62 and 65. Language included in Place of Service ‑ Professional (C‑24004)
- Removal of retired code J2001 and replaced with new code J2004 to ‘when reported with injection, aspiration and needle and catheter placement’ and added new codes 64466‑64469, 64473‑64474
- Removal of retired codes 74710, 95950, 99224‑99226, 99318, 99324‑99328, 99334‑99337, 99339‑99340, 99354‑99357, 99363‑99364, 99420, 99444, J2001
For more information, view this policy online. Visit https://anthem.com/provider and select a state. On the next screen, under the Resources heading, select Policies, Guidelines, and Manuals. Next, under the Reimbursement Policies heading, select Access policies.
Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans, Inc. Independent licensee of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.
MULTI-BCBS-CM-083927-25, CPN83683
PUBLICATIONS: July 2025 Provider Newsletter
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