Policy Updates Reimbursement PoliciesCommercialAugust 1, 2024

Reimbursement policy update: Modifiers 26 and TC — Professional

Anthem updated the Modifiers 26 and TC — Professional reimbursement policy in October 2023. The statement below was inadvertently removed from the Nonreimbursable section of the policy, but remained in the policy Definition section:

  • There is a separate standalone code that describes the professional component only, technical component only, or global test only of a selected diagnostic test.

 No claims were impacted by the omission of this statement. The Nonreimbursable section of the policy has been updated to include this statement. 

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

Commercial services provided by Anthem Blue Cross and Blue Shield, trade name of Anthem HealthChoice HMO, Inc. and Anthem HealthChoice Assurance, Inc., or Anthem Blue Cross and Blue Shield HP, trade name of Anthem HP, LLC.
Independent licensees of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

MULTI-BCBS-CM-061251-24

PUBLICATIONS: August 2024 Provider Newsletter