Policy Updates Reimbursement PoliciesCommercialMarch 1, 2024

Notice of Material Amendments to Contract and/or Change to Prior Authorization Requirements

Reimbursement policy update: Ambulance Transportation – Professional

Beginning with dates of service on or after June 1, 2024, the Related Coding section of Anthem’s Ambulance Transportation – Professional reimbursement policy will be updated to specify that Modifier X, which is used to indicate an intermediate stop at the physician’s office enroute to a hospital, will only apply as a destination modifier.

Modifier X should only be used as a destination code in the second position of the modifier designated field.

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

Anthem Blue Cross and Blue Shield is the trade name of Community Insurance Company. Independent licensee(s) of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

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PUBLICATIONS: March 2024 Provider Newsletter