Attention lab providers: COVID-19 update regarding reimbursement

Reimbursement changes to COVID-19 laboratory services codes for Commercial programs from Anthem Blue Cross and Blue Shield (Anthem) in Maine.

Beginning with dates of service on or after March 1, 2023, or the end of the public health emergency (PHE), whichever is the latter, reimbursement for COVID-19 laboratory services codes will be reduced for providers contracted as independent laboratory (ancillary) providers and participating in an Anthem Independent Laboratory Provider network.

New COVID-19 laboratory service codes were implemented and reimbursed at rates to meet the needs of providers during the PHE. Reimbursement will be revised to Anthem’s standard reimbursement methodology for independent laboratory providers for the following codes:

The revised standard fee schedule for the COVID-19 laboratory services codes outlined above can be viewed on www.availity.com* beginning March 1, 2023.

If you have any questions regarding this notice, please contact your designated Ancillary Provider Network manager. Please incorporate this notice into your Anthem provider agreement folder.