Policy Updates Reimbursement PoliciesCommercialMay 31, 2023

Reimbursement Policy update: Bundled Services and Supplies — Professional

In the July 2022 Provider News, Anthem Blue Cross and Blue Shield (Anthem) announced that effective December 31, 2022, the Enhanced Reimbursement for Voluntary Cancer Care Quality Program would be discontinued, and the following codes would no longer be eligible for reimbursement:

  • S0353: Treatment planning and care coordination management for cancer initial treatment
  • S0354: Treatment planning and care coordination management for cancer established patient with a change of regimen

As a result, Anthem will retire the Cancer Treatment Planning and Care Coordination — Professional Reimbursement Policy and add codes S0353 and S0354 to Section 1: Services and supplies not eligible for separate reimbursement of the Bundled Services and Supplies Reimbursement Policy.

For specific policy details, visit the Reimbursement Policy page at anthem.com/provider.

MULTI-BCBS-CM-025176-23-CPN24760

PUBLICATIONS: June 2023 Provider Newsletter