Anthem eliminates Modifier 90 pass-through billing effective December 1, 2026. Beginning December 1, 2026, Anthem’s new policy requires that laboratory tests performed by a reference laboratory be billed by the laboratory that performed the service — eliminating reimbursement for pass-through…
CMS’s preliminary 2027 CLFS rate data confirms significant downward pressure on lab reimbursement — molecular and genomic labs face the largest projected reductions, and the public comment window closes October 21.