Policy Updates Reimbursement PoliciesCommercialDecember 31, 2020

Unit Frequency Maximum for Drugs and Biologicals (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 April 1, 2021, Empire BlueCross BlueShield will update the related coding section of the policy to include new HCPCS codes (J9312, Q5103-Q5104 Q5107, Q5109, Q5115 Q5118-Q5119 and Q5121) and their billable units.

 

For more information about this policy, visit the Reimbursement Policy page at empireblue.com/provider.

 

931-0121-PN-NY