New reimbursement policy: Bundled Supplies and Services – Facility

Beginning with dates of service on or after June 1, 2024, Anthem will implement a new facility reimbursement policy titled Bundled Supplies and Services – Facility. This policy identifies new and existing services and/or supplies that are ineligible for separate reimbursement when reported by a facility. These identified services and/or supplies are an integral component to the overall procedure.

The Related Coding section of the policy lists and describes the Current Procedural Terminology (CPT®) and Healthcare Common Procedural Coding System (HCPCS Level II) codes that are considered always bundled and not eligible for reimbursement when they are reported as a stand-alone service or with another service. No modifiers will override the denial for the always bundled services and/or supplies.

For specific policy details, visit the Reimbursement Policies page at Anthem.com.