Anthem Blue Cross and Blue Shield, Virginia commercial psychotherapy coverage: telehealth
By Javier Alvarez · Updated · 1 min read
1 row: Anthem Blue Cross and Blue Shield (Virginia) · Virginia. Public policy, not the member's benefits.
Anthem Blue Cross and Blue Shield, Virginia commercial
Anthem Virginia Commercial Reimbursement Policy C-08002, Virtual Visits (effective 03/01/2025) · Virginia
| Telehealth POS | Audio and visual professional claims need POS 02 or 10 to indicate telehealth, the appropriate CPT/HCPCS code and the applicable telehealth modifier. [1] |
|---|---|
| Telehealth modifier | The policy lists modifier 95 (synchronous telemedicine, real-time interactive audio and video), GT and GQ, each required when no telehealth-specific code has been reported. [1] |
| Telehealth rules | Services rendered by audio-only communication are listed as nonreimbursable, as are virtual visits by facility providers. State mandates and contracts may override the policy. [1] |
What Anthem Blue Cross and Blue Shield, Virginia commercial's documents say
The table above has every field we found for Anthem Blue Cross and Blue Shield, Virginia commercial, with numbered sources. In short:
- Telehealth rules. Services rendered by audio-only communication are listed as nonreimbursable, as are virtual visits by facility providers. State mandates and contracts may override the policy.
- Telehealth POS. Audio and visual professional claims need POS 02 or 10 to indicate telehealth, the appropriate CPT/HCPCS code and the applicable telehealth modifier.
Check Anthem Blue Cross and Blue Shield, Virginia commercial's claim against the row
Before the claim goes out, compare it with the row above: the code matches the session length you documented, the place of service and modifier fit a video or audio-only visit, and the rendering clinician's license is one the payer enrolls. The psychotherapy table compares Anthem Blue Cross and Blue Shield (Virginia) with every other payer we checked.