Aug. 14, 2020
Back on May 29, 2020, we added a Clinical Payment and Coding Policy for Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) effective Sept.1, 2020. This policy has been updated to remove procedure code E0770 as a non-reimbursable experimental, investigational and/or unproven service. However, be sure to check eligibility and benefits before rendering this service to make sure the procedure is a covered benefit for the member and determine any prior authorization requirements. A corrected version of this CPCP has been posted to the provider website:
Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU)
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.
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.