Policy Updates Reimbursement PoliciesCommercialMay 31, 2023

Reimbursement policy update: Bundled Services and Supplies policy – Professional

Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.

Beginning with dates of service on or after September 1, 2023, Empire BlueCross BlueShield (Empire) will update the Bundled Services and Supplies – Professional reimbursement policy as follows:

The following codes will be added under Section 1: Services and supplies not eligible for separate reimbursement:

  • G2212
  • G0316 – G0318
  • M0001-M0005
  • M1150-M1210

The following codes will be removed from Section 2: Procedures, services and supplies not eligible for separate reimbursement when reported with another specific procedure, service, or supply:

  • 99217-99220, 99241 and 99251 from the code pair with 69209 and 69210
  • 99242-99245 and 99252-99255 from the code pair with 69209 and 69210
  • 76604, 76705-76706, 76770, 76775-76776, 76815 from the code pair with 99281-99285 and 99221-99233

For specific policy details, visit the reimbursement policy page.

NYBCBS-CM-025140-23-CPN24758

PUBLICATIONS: June 2023 Provider Newsletter