Anthem Blue Cross Blue Shield Ohio policies, page 9
Search Anthem Blue Cross Blue Shield Ohio's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.
599 public policies Substrate tracks for Anthem Blue Cross Blue Shield Ohio, by title.
| Policy | Details | Codes | Source |
|---|---|---|---|
| Medicare Advantage 2017 Precertification Requirements | Effective Jan 1, 2017 · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI | 132 | Original policy ↗ |
| Medicare Advantage 2018 Precertification Requirements | Effective Jan 1, 2018 · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI | 158 | Original policy ↗ |
| Medicare Advantage Precertification Requirements – 2019 | CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI | 191 | Original policy ↗ |
| Medicare Advantage Provider Manual | MULTI-BCBS-CR-PM-008700-26-GRP2620 · Effective Apr 1, 2026 · CO, CT, GA, IN, KY, ME, MO, NH, NV, NY, OH, WI | — | Original policy ↗ |
| Medicare Supplement System Consolidation FAQs | 59396MUPENMUB · Commercial · IN, KY, MO, OH, WI | — | Original policy ↗ |
| Moderate (Conscious) Sedation – Professional and Facility | C-25001 · Effective Oct 1, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 6 | Original policy ↗ |
| Modifier 22 – Professional | C-12003 · Effective May 6, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | — | Original policy ↗ |
| Modifier 24 | G-06011 · Effective Jun 11, 2025 · Medicaid · OH | — | Original policy ↗ |
| Modifier 50 and 51: Multiple and Bilateral Surgery | G-06010 · Effective Dec 18, 2025 · Medicaid · OH | — | Original policy ↗ |
| Modifier 62 | G-06027 · Effective Mar 26, 2026 · Medicaid · OH | — | Original policy ↗ |
| Modifier 62 – Professional | C-21005 · Effective Nov 17, 2023 · Commercial · CO, CT, GA, IN, KY, MO, NH, NV, OH, WI | — | Original policy ↗ |
| Modifier 63: Procedure Performed on Infants less than 4 kg | G-06015 · Effective Feb 1, 2023 · Medicaid · OH | — | Original policy ↗ |
| Modifier 66 – Professional | C-21006 · Effective Nov 17, 2023 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | — | Original policy ↗ |
| Modifier 78 | G-13001 · Effective Sep 11, 2025 · Medicaid · OH | — | Original policy ↗ |
| Modifier FB – Professional and Facility | C-22003 · Effective Oct 1, 2022 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | — | Original policy ↗ |
| Modifier Usage | G-06006 · Effective Jan 16, 2024 · Medicaid · OH | — | Original policy ↗ |
| Modifier Usage - Facility | C-23005 · Effective Apr 1, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | — | Original policy ↗ |
| Modifier Usage – Professional | C-08010 · Effective Jun 3, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 12 | Original policy ↗ |
| Modifiers 25 and 57: Evaluation and Management with Global Procedures | C-09011 · Effective Nov 23, 2022 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 8 | Original policy ↗ |
| Modifiers 25 and 57: Evaluation and Management with Global Procedures | G-06003 · Effective May 22, 2024 · Medicaid · OH | 1 | Original policy ↗ |
| Modifiers 26 and TC | G-15004 · Effective Oct 30, 2023 · Medicaid · OH | — | Original policy ↗ |
| Modifiers 26 and TC: Professional and Technical Component - Professional | C-20004 · Effective Dec 2, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | — | Original policy ↗ |
| Modifiers 50 and 51: Multiple and Bilateral Surgery - Professional | C-08004 · Effective Oct 30, 2023 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 63 | Original policy ↗ |
| Modifiers 52, 53, 73, and 74: Reduced and Discontinued Services | G-10033 · Effective Oct 23, 2025 · Medicaid · OH | — | Original policy ↗ |
| Modifiers 59 and XE, XP, XS, and XU: Distinct Procedural Service - Professional | C-09006 · Effective Mar 15, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 187 | Original policy ↗ |
| Modifiers 59, XE, XP, XS, XU: Distinct Procedural Services | G-15001 · Effective Apr 12, 2022 · Medicaid · OH | — | Original policy ↗ |
| Modifiers 80, 81, 82 and AS: Assistant at Surgery - Professional | C-08006 · Effective Sep 27, 2023 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 44 | Original policy ↗ |
| Modifiers 80, 81, 82, and AS: Assistant at Surgery | G-06005 · Effective Dec 18, 2025 · Medicaid · OH | — | Original policy ↗ |
| Modifiers 90 and 91: Laboratory Services | G-20001 · Effective Dec 1, 2026 · Medicaid · OH | — | Original policy ↗ |
| Modifiers 90, 91, and 92: Laboratory Services – Professional and Facility | C-26002 · Effective Nov 1, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 6 | Original policy ↗ |
| Modifiers LT and RT: Left-Side and Right-Side Procedures | G-07022 · Effective Jul 21, 2025 · Medicaid · OH | — | Original policy ↗ |
| Molecular Signature Test for Predicting Response to Tumor Necrosis Factor Inhibitor Therapy | LAB.00042 · Commercial | 1 | Original policy ↗ |
| MRI Guided High Intensity Focused Ultrasound Ablation for Non-Oncologic Indications | MED.00057 · Commercial | 6 | Original policy ↗ |
| Multiple Delivery Services | G-06044 · Effective Jul 17, 2024 · Medicaid · OH | — | Original policy ↗ |
| Multiple Delivery Services – Professional | C-19005 · Effective Apr 29, 2022 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | — | Original policy ↗ |
| Multiple Diagnostic Imaging Procedures – Professional and Facility | C-25003 · Effective Oct 26, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | — | Original policy ↗ |
| Multiple Procedure Payment Reduction – Professional | C-23003 · Effective Apr 12, 2023 · Commercial · CO, CT, GA, IN, KY, MO, NH, NV, OH, WI | — | Original policy ↗ |
| Multiple Radiology Payment Reduction | G-12002 · Effective Dec 10, 2024 · Medicaid · OH | — | Original policy ↗ |
| Multiple Surgery – Facility | C-21004 · Effective Jan 1, 2022 · Commercial · CO, CT, GA, IN, KY, MO, NV, OH | — | Original policy ↗ |
| Multiplex Autoantigen Microarray Testing for Systemic Lupus Erythematosus | LAB.00036 · Commercial | 2 | Original policy ↗ |
| Near-Infrared Coronary Imaging and Near-Infrared Intravascular Ultrasound Coronary Imaging | RAD.00057 · Commercial | 1 | Original policy ↗ |
| Non-invasive Cardiac Management and Monitoring Systems | MED.00134 · Commercial | 5 | Original policy ↗ |
| Non-Patient Laboratory Services- Facility | C-21001 · Effective Aug 18, 2025 · Commercial · CO, CT, GA, IN, ME, MO, NV, OH | — | Original policy ↗ |
| Not Otherwise Classified (NOC) Drug | CRHPAP - 004 · Effective Feb 7, 2019 · Commercial · IN, KY, MO, OH, WI | 1 | Original policy ↗ |
| Not Otherwise Classified (NOC) Non-Drug | CRHPAP - 003 · Effective Feb 7, 2019 · Commercial · IN, KY, MO, OH, WI | 1 | Original policy ↗ |
| Nurse Practitioner and Physician Assistant Services | G-20002 · Effective Nov 1, 2024 · Medicaid · OH | — | Original policy ↗ |
| Nurse Practitioner and Physician Assistant Services - Professional | C-20001 · Effective Feb 1, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 7 | Original policy ↗ |
| Observation Services - Facility | C-11005 · Effective Feb 1, 2026 · Commercial · CO, CT, GA, IN, KY, MO, NV, OH, WI | 14 | Original policy ↗ |
| OHIO PROVIDER MANUAL | Effective Jul 1, 2019 · Commercial · OH | 24 | Original policy ↗ |
| OHIO PROVIDER MANUAL | Effective Aug 1, 2020 · Commercial · OH | 24 | Original policy ↗ |