Policy Updates Reimbursement PoliciesCommercialFebruary 1, 2025

Reimbursement policy update: Diagnostic Radiopharmaceuticals and Contrast Materials — Professional and Facility

Beginning with dates of service on or after May 1, 2025, Anthem will update the Diagnostic Radiopharmaceuticals and Contrast Materials — Professional and Facility reimbursement policy to remove the code list located in the Related Coding section. Providers should continue to follow the policy guidelines that identify the services eligible for reimbursement. Providers can refer to the AMA CPT Manual or HCPCS Level II Manual for correct coding.

For specific policy details, visit the reimbursement policy 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.

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PUBLICATIONS: February 2025 Provider Newsletter