Policy Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2024

Notice of material change/amendment to contract

New reimbursement policy: Trauma Activation — Facility

Beginning with dates of service on or after March 1, 2025, Anthem will implement a new reimbursement policy titled Trauma Activation — Facility.

Under this policy, trauma activation services billed on a UB-04 claim form will be considered for reimbursement when the following criteria are met:

  • Revenue code 068X (trauma activation) and CPT® code 99291 (critical care) must be billed on the same claim. The claim will not be considered for reimbursement if submitted without CPT code 99291 billed on the same claim.
  • At least 30 minutes of critical care services must be rendered by the trauma activation team.

For specific policy details, visit the reimbursement policy page.

Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of Maine, Inc. Independent licensee of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

MEBCBS-CM-072601-24

ATTACHMENTS: Policy C-24003 - Trauma Activation (pdf - 0.15mb)

PUBLICATIONS: December 2024 Provider Newsletter