CPCP006 Preventive Services Policy Updated Effective 07/01/2023 


Blue Cross and Blue Shield of Texas has updated the Clinical Payment and Coding Policy (CPCP) for CPCP006 Preventive Services effective July 1, 2023. 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.

Changes to the Preventive Services Policy include: 

  • Additional coding options for Breastfeeding Interventions, Services, and Supplies
  • Hypertension in Adults:  Screening guidelines
  • Interpersonal and Domestic Violence Screening diagnosis coding information
  • Revisions to Covid-19 Vaccine codes

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.