Clinical Payment and Coding Policy Update – 12/14/2020
Blue Cross and Blue Shield of Texas has revised the following Clinical Payment and Coding Policies as a result of codes that were added, removed or changed due to American Medical Association CPT® updates effective Jan. 1, 2021.
Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) effective 01/01/2021.
Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) effective 03/01/2021.
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.
If you have any questions or if you need additional information, please contact your BCBSTX Network Management Representative.