Anthem BCBS Professional Reimbursement Updates

September 2018 ~

Anthem Blue Cross Blue Shield (BCBS) posted professional reimbursement updates for its policy for once per lifetime procedures bundled and services and supplies. These updates are as follows:

Bundled Services and Supplies

Beginning with dates of service on or after November 1, Anthem has added information to Section 1 of its policy that charges for copies of x-rays or DVDs are considered always bundled services and not eligible for separate reimbursement.

Once per Lifetime Procedures

Anthem’s Once per Lifetime Procedures policy received a biennial review and the insurer is removing modifier 58 from the policy. Modifier 58 is used to report a staged or related procedure by the same physician during the postoperative period and would not be used for a once per lifetime procedure if that procedure was previously performed on the patient.



Source(s):  Anthem Blue Cross and Blue Shield Network Update August 2018;