June 8, 2020
We have updated the Clinical Payment and Coding Policies (CPCP) page to include updates to the below policies with the effective date indicated.
- Hernia Repair Effective 9/15/2020
- Neonatal Intensive Care Unit (NICU) Level of Care Authorization and Reimbursement Policy Effective 6/15/2020
- Observation Services Tool for Applying MCG Care Guidelines Effective 6/15/2020
- Point-of-Care Ultrasound Examination Guideline Effective 9/15/2020
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.