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Anthem BCBSCommercial · Reimbursement · Claims & Billing · GA · Critical Care, Emergency Medicine, Hematology +2 moreHigh impact

[Georgia] Reimbursement policy update: Bundled Services and Supplies — Facility

Act
by Mar 15, 2026
Effective date
Apr 1, 2026
Identified
May 3, 2026

Summary

Effective April 1, 2026, Anthem Blue Cross Blue Shield (Georgia) is bundling blood product splitting, pooling, and thawing services into facility fees with no separate reimbursement allowed. Additionally, professional/technical components and supplies for blood product administration and routine ECG will not be separately reimbursable when billed with room/facility fees or procedures. Specific HCPCS codes have been added to the related coding section.

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What to do

by Mar 15, 2026 · 4 steps
01Billing team must update billing system logic to bundle blood product services (splitting, pooling, thawing) into facility fees and deny separate reimbursement for these services when billed by facility providers.
02Update system edits to prevent separate billing of professional/technical components and supplies for CPT 96521, 96522, 96523, 99190, 99192, and routine ECG codes when submitted on the same date of service as facility or room fees.
03Review all encounter templates and billing worksheets to remove options for separate billing of these bundled services.
04Communicate changes to all clinical and billing staff.
If missed: Failure to implement these changes will result in claim denials and revenue loss beginning April 1, 2026.

Codes mentioned

76014760199652196522965239919099192C1734C1762C1763C1781C1889L8699

Original notice

[Georgia] Reimbursement policy update: Bundled Services and Supplies — Facility
providernews.anthem.com · Always check the source before changing claims.
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Related changes

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[New York] Reimbursement policy update: Bundled Services and Supplies — FacilityHighEffective Apr 1, 2026 · Claims & Billing[Ohio] Reimbursement policy update: Bundled Services and Supplies — FacilityMediumEffective Apr 1, 2026 · Claims & Billing[Virginia] Carelon Medical Benefits Management, Inc. Code UpdateMediumEffective Apr 1, 2026 · Provider Bulletin[New York] Carelon Medical Benefits Management, Inc. Code UpdateMediumEffective Apr 1, 2026 · Provider BulletinBrowse every Anthem BCBS change in the policy list

Related policy hubs

Anthem BCBS policiesGA policy changesCritical CareEmergency MedicineHematologyInternal MedicineCardiologyCode 76014Code 76019Code 96521Code 96522Code 96523Code 99190Code 99192Code C1734Code C1762Code C1763Code C1781Code C1889Code L8699

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