Reimbursement policy update: Bundled Services and Supplies - Professional
Beginning with dates of service on or after March 1, 2023, Anthem Blue Cross and Blue Shield (Anthem) will update the Bundled Services and Supplies Policy - Professional to include two new CPT codes, 87913 and K1034, as not eligible for separate reimbursement. Specifically, Section 1 of the policy will be revised as follows to add these 2 new CPT codes:
The following codes are not eligible for reimbursement when they are reported with another service or reported as a stand-alone service:
- 87913 — Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), mutation identification in targeted region(s).
- K1034 — Provision of COVID-19 test, nonprescription self-administered and self-collected use, FDA approved, authorized, or cleared, one test count.
December 2022 Anthem Provider News - Nevada