Untimed Billing Procedure Codes
Only one unit should be reported per date of service for the CPT codes listed in the link below. Blue Cross and Blue Shield of Texas (BCBSTX) adheres to CPT guidelines for the proper usage of these CPT codes. Unless there are extenuating circumstances documented in your office notes — for example, multiple visits on the same day — we will only allow one unit per date of service for these codes. As of the effective dates below, the BCBSTX system will be enhanced to include logic to adjudicate these CPT codes to allow only one unit per day.
(Please note: Codes 96110, 96111, 99221 thru 99223, 99231 thru 99233, and 99291 have been removed from the list effective 02/01/2010)
Current Procedural Terminology (CPT®), copyright 2008 by the American Medical Association (AMA). CPT is a registered trademark of the AMA.