Fee Schedule Update for Procedure Codes 97151 and 97152


Blue Cross and Blue Shield of Texas (BCBSTX) will implement an increase in the maximum allowable fee schedule for procedure code 97151 effective May 1, 2022, and a reduction for procedure code 97152 effective Aug. 1, 2022, due to a posting error.  This impacts the Blue Choice PPOSM, Blue EssentialsSM (including HealthSelectSM of Texas Network), Blue PremierSM, Blue Advantage HMOSM, MyBlue HealthSM and PAR Plan networks (collectively referred to as "Networks").

The specific changes for the Network fee schedules and files will be posted on the BCBSTX provider website under Standards & Requirements, then select General Reimbursement Information. To access the secure content area, please obtain the password from your Network Management Office. General reimbursement information policies and fee schedule information will be posted under "Reimbursement Changes/Updates" in the "Reimbursement Schedules" section.

If you have any questions, please contact your Network Management Office.