Policy Updates Reimbursement PoliciesCommercialAugust 1, 2024

Reimbursement policy update: Modifiers 26 and TC — Professional

Anthem updated the Modifiers 26 and TC — Professional reimbursement policy in October 2023. The statement below was inadvertently removed from the Nonreimbursable section of the policy, but remained in the policy Definition section:

  • There is a separate standalone code that describes the professional component only, technical component only, or global test only of a selected diagnostic test.

 No claims were impacted by the omission of this statement. The Nonreimbursable section of the policy has been updated to include this statement. 

For specific policy details, visit the reimbursement policy page at anthem.com.

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.

MULTI-BCBS-CM-061251-24

PUBLICATIONS: August 2024 Provider Newsletter