CommercialJune 30, 2021
Reimbursement policy update: Consultations (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 October 1, 2021, Empire BlueCross BlueShield’s (“Empire”) current Documentation and Reporting Guidelines for Consultations policy will be renamed Consultations. This policy aligns with CMS guidance and does not allow reimbursement for inpatient (99251-99255) or outpatient (99241-99245) consultation codes and requires providers to bill the appropriate office visit Evaluation and Management (E&M) code for consultation services.
For more information about this policy, visit the Reimbursement Policy page at empireblue.com/provider.
PUBLICATIONS: July 2021 Newsletter
To view this article online:
Or scan this QR code with your phone