E0118: Crutch Substitute Code Update
Effective 11/1/22, procedure code E0118 should be billed monthly. Rentals should be billed with an RR modifier with one unit per month. Purchases should be billed with an NU modifier and a unit of one.
G0260: Sacroiliac Joint Injection Code Update
Effective 10/1/2022, BCBSWY no longer permits the billing of HCPCS code G0260 with a national place of service 24 (Ambulatory Surgery Center). A standard CPT code for the procedure should be used. If the G0260 is billed, the claim could deny in entirety with a validation error, which could occur at the clearing house submission point.
Intraocular Lens Update
Effective 11/01/2022, any Intraocular Lens services performed in an ASC only must be billed with L8699 plus invoice. This is replacing codes V2630, V2631, V2632, V2787 and V2788.
Peer-to-peer conversations must be requested within 10 calendar days from the date of the denial notice from BCBSWY. Once an authorization denial is updated on the Availity Authorizations Dashboard a provider can request a peer-to-peer.
Providers should have received an email with survey instructions on Tuesday, Sept. 27. Your feedback helps us improve our programs and services. If you did not have a chance to complete it, please consider. Your cooperation will help us measure our progress. We look forward to hearing from you.
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