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[New York] Reimbursement policy update: Bundled Services and Supplies — Facility
Act
by Mar 31, 2026
Effective date
Apr 1, 2026
Identified
May 3, 2026
Summary
Effective April 1, 2026, Anthem Blue Cross will no longer reimburse separately for blood product splitting, pooling, and thawing services, as well as professional/technical components and supplies for blood product administration and routine ECG when billed with facility or room fees. Facilities must bundle these services into primary service or facility fee reimbursement. Several new codes have been added to the related coding section for reference.
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What to do
by Mar 31, 2026 · 6 steps
01Billing team must update billing system edits and claim scrubbing rules to prevent submission of separate charges for blood product splitting, pooling, thawing (CPT 76014, 76019) and professional/technical components for blood product administration (CPT 96521, 96522, 96523) and routine ECG (CPT 99190, 99192) when billed on the same date of service as facility fees or procedure codes.
02Update charge capture templates in EMR/billing software to bundle these services into facility fees for Anthem commercial plans in New York.
03Train billing staff and providers on the new bundling requirements.
04Audit accounts with dates of service on or after April 1, 2026 for compliance.
05Failure to implement will result in claim denials and revenue loss.
06Reference the full policy at https://anthem.com/provider (New York) for complete details.
Codes mentioned
76014760199652196522965239919099192C1734C1762C1763C1781C1889L8699
Original notice
[New York] Reimbursement policy update: Bundled Services and Supplies — Facility
providernews.anthem.com · Always check the source before changing claims.
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