Policy Updates Reimbursement PoliciesCommercialFebruary 1, 2025

New reimbursement policy: Place of Service — Professional

As of December 10, 2024, we retired the reimbursement policy titled Place of Service — Professional C‑09001 and replaced it with a new policy titled Place of Service — Professional C‑24004.

Under this policy, we require the appropriate place of service code to be billed on a CMS‑1500 claim form to be eligible for reimbursement. The place of service is determined by the following:

  • CPT® or HCPCS Level II code description
  • CPT coding guidelines

For specific policy details, visit the Missouri Reimbursement Policies page.

In Missouri (excluding 30 counties in the Kansas City area): Anthem Blue Cross and Blue Shield is the trade name of RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. Independent licensees of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

MOBCBS-CM-076127-24-CPN75910

PUBLICATIONS: February 2025 Provider Newsletter