Blue Cross and Blue Shield of NC to Implement CPT Policy Changes November 1
August 30th, 2010
Effective November 1, 2010, BCBSNC will implement policy changes affecting multiple surgery reduction procedure CPT codes. Most of the changes will eliminate the multiple surgery reduction rules and the codes will no longer reduce when filed in conjunction with other procedures. Codes affected by this change are 93561, 935620, 90935, 90937, 90945, 90947, 92700, and 92975.
Three additional CPT codes will be affected by the policy changes: 93650, 93651, and 93973. BCBSNC has designated these codes as surgical in nature and multiple surgery reduction will apply when billed in conjunction with other procedures. BCBSNC allows exceptions “if the procedure is performed as stand-alone or submitted with codes deemed to be modifier -51 exempt or an add-on code by CPT.”
For more specific details about the changes, see the BCBSNC document Multiple Surgery Reduction Charges.
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