MCG Care Guidelines 24th edition customization

Please note, this communication applies to Anthem HealthKeepers Plus offered by HealthKeepers, Inc.

 

Effective June 1, 2021, the following new customizations will be implemented:

 

• Gastrointestinal Bleeding, Upper (W0170, previously ORG M-180) — Customized the Clinical Indications for admission to inpatient care by revising the hemoglobin; systolic blood pressure; pulse; melena; orthostatic hypotension; and BUN criteria.

 

• Gastrointestinal Bleeding, Upper Observation Care (W0171, previously OCG OC-021) — Customized the Clinical Indications for observation care by revising the systolic blood pressure and hemoglobin criteria and adding melena or hematochezia and suspected history of bleeding.

 

To access a detailed summary of customizations, select: Customizations to MCG Care Guidelines 24th Edition (path: https://www.anthem.com/provider/policies/clinical-guidelines > Other Criteria > MCG > Customizations to MCG Care Guidelines 24th Edition.)

 

If you have any questions about this communication, call Provider Services at 1‑800‑901‑0020 or Anthem CCC Plus Provider Services at 1‑855‑323‑4687.

 

AVA-NU-0325-20