Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services (Facility) (MAC)

Material adverse change

In the February 2021 issue of Provider News, we announced a new reimbursement policy titled Treatment Rooms with Office Evaluation and Management Services which states that Anthem Blue Cross and Blue Shield (Anthem) does not allow reimbursement for office evaluation and management services when reported with revenue code 761.

Beginning with dates of service on or after September 1, 2022, Anthem will expand the current policy to include two additional revenue codes (760 and 769).

For specific policy details, visit our Reimbursement Policy page at anthem.com/provider.

2749-0622-PN-NVGA