Anthem Blue Cross and Blue Shield | CommercialMay 1, 2023
RETRACTION: New Reimbursement policy: Bundled Supplies and Services - Facility
Please note that this policy update was published in error and does not apply to Anthem Blue Cross and Blue Shield in Virginia at this time.
Beginning with dates of service on or after August 1, 2023, Anthem Blue Cross and Blue Shield will implement a new facility reimbursement policy titled Bundled Supplies and Services – Facility. This policy identifies certain services and/or supplies ineligible for separate reimbursement when reported by a facility. These identified services and/or supplies are an integral component to the overall procedure.
The Related Coding section of the policy lists and describes the Current Procedural Terminology (CPT®) and Healthcare Common Procedural Coding System (HCPCS Level II) codes that are considered always bundled and not eligible for reimbursement when they are reported as a stand-alone service, or with another service. No modifiers will override the denial for the always bundled services and/or supplies.
For specific policy details, visit the reimbursement policy page at anthem.com.
MULTI-BCBS-CM-022955-23-CPN22784
PUBLICATIONS: May 2023 Provider News
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