See Our Revised Clinical Payment and Coding Policy for Billing Anesthesia Services Effective 06/01/2024

February 29, 2024

What’s changing?
Effective June 1, 2024, Blue Cross and Blue Shield of Texas is updating the Clinical Payment and Coding Policy, CPCP010 - Anesthesia Information.

The Details
Under this revised policy BCBSTX will no longer offer additional reimbursement for services based on the use of physical status modifier, P3, P4 and P5, when appended to anesthesia services.

What do I need to do?
Review in detail the revised policy – Anesthesia Information CPCP010.

Be sure to check eligibility and benefits before rendering service(s) to make sure a procedure is a covered benefit for the member. 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.