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Anthem – Notification regarding reimbursement changes to COVID-19 laboratory services codes (MAC)
January 3, 2023Commercial and Medicare Advantage plans from Anthem Blue Cross and Blue Shield (Anthem)
Beginning with dates of service on or after April 1, 2023, or the end of the public health emergency (PHE), whichever is later, reimbursement for COVID-19 laboratory service codes may be reduced for participating providers contracted with Anthem.
New COVID-19 laboratory service codes were implemented and reimbursed at rates to meet the needs of providers during the PHE. Reimbursement will now be revised to Anthem’s standard reimbursement methodology for the following codes:
|
U0001 |
86328 |
87426 |
87811 |
0226U |
|
U0002 |
86408 |
87428 |
0202U |
0240U |
|
U0003 |
86409 |
87635 |
0223U |
0241U |
|
U0004 |
86413 |
87636 |
0224U |
|
|
U0005 |
86769 |
87637 |
0225U |