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

Notice of material change/amendment to contract

Reimbursement policy update: Ambulance Transportation – Professional

Beginning with dates of service on or after June 1, 2024, the Related Coding section of Anthem’s Ambulance Transportation – Professional reimbursement policy will be updated to specify that Modifier X, which is used to indicate an intermediate stop at the physician’s office enroute to a hospital, will only apply as a destination modifier.

Modifier X should only be used as a destination code in the second position of the modifier designated field.

For specific policy details, visit the following reimbursement policy page at anthem.com/provider.

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.

MULTI-BCBS-CM-050524-24

ATTACHMENTS: Ambulance Transportation - Professional (pdf - 0.18mb)

PUBLICATIONS: March 2024 Provider Newsletter