State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 30, 2022

Attention lab providers: COVID-19 update regarding reimbursement

Notification regarding reimbursement changes to COVID-19 laboratory services codes

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 may be reduced for independent laboratories participating in the AMH Health, LLC 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 the AMH Health standard reimbursement methodology for independent laboratory providers for the following codes:

U0001

86328

87426

87811

0226U

U0002

86408

87428

0202U

0240U

U0003

86409

87635

0223U

0241U

U0004

86413

87636

0224U

 

U0005

86769

87637

0225U

 

If you have any questions regarding this notice, please contact your designated Provider Network manager. Please incorporate this notice into your AMH Health’s Provider Agreement folder.

MEAMH-CR-013055-22-CPN12350

PUBLICATIONS: January 2023 Provider Newsletter - Maine