Reimbursement policy update: Unit frequency maximum for drugs and biologicals - Professional*

Beginning with dates of service on or after April 1, 2021, Anthem Blue Cross and Blue Shield (Anthem) will update the related coding section of the policy to include new HCPCS codes (J9312, Q5103-Q5104 Q5107, Q5109, Q5115 Q5118-Q5119 and Q5121) and their billable units.

 

For more information about this policy, view Anthem’s reimbursement policies online for your state: Indiana, Kentucky, Missouri, Ohio, Wisconsin.

 

933-0121-PN-IN.OH.WI