Reimbursement policy update: Multiple and Bilateral Surgery Processing - Professional

Beginning with dates of service on or after January 1, 2023, Anthem Blue Cross and Blue Shield will update the Related Coding section of the policy with the following:

 

• Added CPT code 43497 to base code 43235 Esophagogastroduodenoscopy (EGD) with the reduction of 100% primary and 25% subsequent.

 

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

 

MOBCBS-CM-006899-22-CPN6702