Coding update effective July 1, 2024

The following guideline was among those recently approved at the Medical Policy and Technology Assessment Committee meeting held on February 15, 2024. Revisions have been made to the coding, which may result in services previously considered medically necessary to now be considered not medically necessary for DOS on or after July 1, 2024.

These guidelines impact all the products from Anthem Blue Cross and Blue Shield and its affiliate HealthKeepers, Inc., except for Anthem HealthKeepers Plus Medicaid products offered by HealthKeepers, Inc., Medicare Advantage, and the Blue Cross and Blue Shield Service Benefit Plan (also called the Federal Employee Program or FEP).

The services addressed in the guideline presented in this document will require authorization for all our products offered by HealthKeepers, Inc., except for Anthem HealthKeepers Plus Medicaid products offered by HealthKeepers, Inc., Medicare Advantage, and FEP. A predetermination can be requested for our Anthem PPO products.

Guideline	Code(s)
ANC.00008 Cosmetic and Reconstructive Services of the Head and Neck	21086, L8045

We are committed to finding solutions that help our care provider partners offer quality services to our members.