Anthem 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 |
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U0005 | 86769 | 87637 | 0225U |
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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
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