Reimbursement policy update: Consultations - professional

Beginning with dates of service on or after October 1, 2021, Anthem’s current Documentation and Reporting Guidelines for Consultations policy will be renamed Consultations. This policy aligns with CMS guidance and does not allow reimbursement for inpatient (99251-99255) or outpatient (99241-99245) consultation codes, and requires providers to bill the appropriate office visit Evaluation and Management (E/M) code for consultation services.

 

For more information about this policy, visit the Reimbursement Policies page at anthem.com.  

 

1226-0721-PN-NE