Policy Updates Reimbursement PoliciesCommercialFebruary 1, 2025

Reimbursement policy update: Diagnostic Radiopharmaceuticals and Contrast Materials — Professional and Facility

Beginning with dates of service on or after May 1, 2025, Anthem will update the Diagnostic Radiopharmaceuticals and Contrast Materials — Professional and Facility reimbursement policy to remove the code list located in the Related Coding section. Providers should continue to follow the policy guidelines that identify the services eligible for reimbursement. Providers can refer to the AMA CPT Manual or HCPCS Level II Manual for correct coding. 

For specific policy details, visit the reimbursement policy 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.

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PUBLICATIONS: February 2025 Provider Newsletter