Blue Cross and Blue Shield of Texas has updated the Clinical Payment and Coding Policy (CPCP) for CPCP006 Preventive Services effective Oct. 1, 2022. Changes to this Preventive Services policy are based on compliance with the United States Preventive Services Task Force updates and/or may be the result of American Medical Association procedure code updates.
Be sure to check eligibility and benefits before rendering service(s) to make sure a procedure is a covered benefit for the member and determine any prior authorization requirements.
Refer to Clinical Payment and Coding Policies under Standards and Requirements on the provider website to review the current CPCPs.
Clinical payment and coding policies are based on using healthcare professionals and industry standard guidelines. The clinical payment and coding guidelines are not intended to provide billing or coding advice but to serve as a reference for facilities and providers.