Policy Updates Reimbursement PoliciesCommercialFebruary 1, 2025

New reimbursement policy: Place of Service — Professional

As of December 10, 2024, we retired the reimbursement policy titled Place of Service — Professional C‑09001 and replaced it with a new policy titled Place of Service — Professional C‑24004.

Under this policy, we require the appropriate place of service code to be billed on a CMS‑1500 claim form to be eligible for reimbursement. The place of service is determined by the following:

  • CPT® or HCPCS Level II code description
  • CPT coding guidelines

For specific policy details, visit the Wisconsin Reimbursement Policies page.

Anthem Blue Cross and Blue Shield is the trade name of Blue Cross Blue Shield of Wisconsin (BCBSWI), Compcare Health Services Insurance Corporation (Compcare), and Wisconsin Collaborative Insurance Company (WCIC). BCBSWI underwrites or administers PPO and indemnity policies and underwrites the out of network benefits in POS policies offered by Compcare or WCIC; Compcare underwrites or administers HMO or POS policies; WCIC underwrites or administers Well Priority HMO or POS policies. Independent licensee(s) of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

WIBCBS-CM-076128-24-CPN75910

PUBLICATIONS: February 2025 Provider Newsletter