CommercialSeptember 30, 2022
Reimbursement policy update: Multiple and Bilateral Surgery Processing - Professional
Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.
Material Adverse Change (MAC)
Beginning with dates of service on or after January 1, 2023, Empire BlueCross BlueShield will update the Related Coding section of the policy with the following:
- Added CPT code 43497 to base code 43235 Esophagogastroduodenoscopy (EGD) with the reduction of 100% primary and 25% subsequent
For specific policy details, visit the reimbursement policy page at www.empireblue.com/provider.
PUBLICATIONS: October 2022 Newsletter
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