Implant — Facility Editing update

Effective for all claims received on and after September 1, 2024, Anthem is updating its outpatient facility editing system to deny the following HCPCS codes when billed with revenue code 0278:

A0001–A2012	C1052
A4212	C1600–C1604
A4215–A4217	C1761
A4220–A4221	C1765
A4290	C1787
A4305–A4306	C1748
A4314–A4316	C1818
A4338–A4351	Q4279
A4364	Q4287–Q4304
A4461
V2785

This facility editing update is supported by Anthem’s Implants — Facility commercial reimbursement policy. If you believe you have received a denial in error, please follow Anthem’s standard claim dispute process.