05-10-2022
In March 2023, Blue Cross and Blue Shield of Texas (BCBSTX) increased the maximum allowable standard fee schedule reimbursement for 63 additional outpatient surgery services when performed at in-network Ambulatory Surgery Centers (ASC) for commercial members*.
This initiative creates an opportunity to increase your reimbursement by 15%-50% on each qualifying procedure while allowing patients to receive the same quality of care they would get in a hospital but at a significantly lower cost.
More Information
For more information and a full list of codes visit our website.
In addition, participating providers may use the Fee Schedule Viewer tool via Availity Essentials to electronically receive the incentive price allowance, as applicable, for up to 20 procedure codes at a time by selecting Other Place of Service.
*Please note, this does not apply to BCBSTX Medicare Advantage or Medicaid members.
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