Anthem Blue Cross and Blue Shield | CommercialDecember 1, 2021
IMPORTANT: Taxonomy codes for APRNs, mid-wives, physician assistants, and behavioral health facilities billing on CMS-1500 form
To help ensure accurate reimbursement, it is important that the provider types outlined below report the following taxonomy codes to Anthem when providing services in the referenced medical capacity.
Please reference the NUCC guidelines for further CMS-1500 claim reporting guidance.
Advanced practice registered nurses/mid-wives
|
APRN |
CRNA |
MID-WIFE |
Surgical first assist |
163WR0006X |
|
163WR0006X |
Behavioral health |
363LP0808X |
|
|
Anesthesia |
|
367500000X |
|
Physician assistants
Surgical first assist |
363AS0400X |
Behavioral health |
363A00000X |
Primary care (pcp) |
363AM0700X |
Specialist |
363AM0700X |
Behavioral health facilities
If you are a behavioral health facility that bills Anthem at the organizational level on the CMS 1500, report the following taxonomy codes in the Billing Taxonomy field on the CMS-1500 (paper - field 33b, electronic - Loop 2000A/Segment PRV - field 39)
Adult psychiatrist (MD/DO) |
2084P0800X |
Child psychiatrist (MD/DO) |
2084P0804X |
Psychologist (PhD) |
103TC0700X |
Advanced practice nurse (APRN) |
363LP0808X |
Masters (MDIV, LPC, LCSW, LCPC, RNCS, etc.) |
193200000X |
PUBLICATIONS: December 2021 Anthem Maine Provider News
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