Reimbursement policy update: Laboratory and venipuncture services - professional and facility*
*Material Adverse Change (MAC)
Beginning with dates of service on or after October 1, 2022, the Anthem Blue Cross and Blue Shield Laboratory and Venipuncture Services policy is expanded to include facility providers. The related coding section is updated to clarify coding for professional and facility providers.
Facility providers are not eligible for separate reimbursement for the following select specimen-handling CPT®/HCPCS codes: 99000, 99001, H0048, P9603, and P9604. In addition, the Related Coding section I in the Bundled Services and Supplies policy is updated to remove these codes.
July 2022 Anthem Provider News - Wisconsin