In the December 2021 edition of Provider News, Anthem Blue Cross and Blue Shield (Anthem) announced that an update to our reimbursement policy titled Assistant at Surgery – Professional, effective for dates of service on or after March 1, 2022.


The effective date of the policy has changed. The policy will now be effective for dates of service on or after November 1, 2022.


This policy follows the Centers for Medicare and Medicaid Services (CMS) guidelines for the codes designated as MPFS Assistant Surgery payment indicator ‘2’ always requiring an assistant surgeon. Codes identified with MPFS Assistant Surgery payment indicators ‘0’, ‘1’, and ‘9’ are not allowed for reimbursement.


For specific policy details, visit the Anthem reimbursement policy page



Featured In:
September 2022 Anthem Provider News - Ohio