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Tier 3payer_policyApprovedev-us-anthem-g10004

Reimbursement Policy G-10004, Technology Assisted Surgical Procedures (Indiana Medicaid)

Anthem Blue Cross and Blue Shield (Elevance Health)

Summary

Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect. Anthem does not allow separate or additional reimbursement for technology assisted surgical procedures, defined to include both robotic surgical systems and computer assisted surgical systems, unless a provider, state, federal or CMS contract requires otherwise. Reimbursement is the payment for the primary surgical procedure regardless of instruments, supplies, techniques or approach, or of any increase in operating room use, and the policy binds participating and nonparticipating providers and facilities.

Supporting location Policy section; Definitions; References and Research Materials

Open source

Published

22 Feb 2023

Applicable from

1 Nov 2023

Accessed

2 Sep 2026

Answers depending on this record

No current answer cites this record.