Psychiatry Reimbursement Increase

Effective January 1, 2023, Blue Cross and Blue Shield of Texas (BCBSTX) will increase the maximum allowable standard fee schedule reimbursement for the following specialties for commercial members in certain networks*.

Provider Specialties Included:

  • Child & Adolescent Psychiatry
  • Psychiatry

*Does not apply to Blue Advantage HMOSM, MyBlue HealthSM, BCBSTX Medicare Advantage or Medicaid networks administered by Magellan Healthcare®

What’s Changed?

Eligible services with a Relative Value Unit (RVU) or certain laboratory procedures that are specifically identified under Relative Values, Clinical & Other Lab Codes on the Reimbursement and Schedules and Related Information (Secure Content) area of the General Reimbursement Information page on the provider website.

Note: To enter the "Secure Content" area of the General Reimbursement Information section of the provider website, a password is required. You may obtain the password from your Network Management Office. As a reminder, this area is only available to participating providers.

More Information
To determine if the increase applies to the services you perform, participating providers may use the Fee Schedule Viewer tool via Availity® Essentials and electronically receive the incentive price allowance, as applicable, for up to 20 procedure codes at a time.

Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSTX. BCBSTX makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer.