Reimbursement Policy Update: Unlisted, Unspecified or Miscellaneous Codes

Anthem Blue Cross and Blue Shield (Anthem) allows reimbursement for unlisted, unspecified or miscellaneous codes for psychiatric services with an applicable revenue code without documentation of a written description, office notes or operative report. Unlisted, unspecified or miscellaneous codes should only be used when an established code does not exist to describe the service, procedure or item rendered. Reimbursement is based on review of the unlisted, unspecified or miscellaneous codes on an individual claim basis.

 

Effective August 1, 2020, Anthem will allow reimbursement for the billing of intensive outpatient programs with unlisted psychiatric services or procedure code with an applicable revenue code without documentation of a written description, office notes or operative report.

 

For additional information, please review the Unlisted, Unspecified or Miscellaneous Codes reimbursement policy here.