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 Requests
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.
Survey Reminder
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.
Sign up to Receive New and Improved Provider Update
The BCBSWY Provider Update Newsletter is getting a makeover. Please sign up at BCBSWY.com to continue receiving these updates with a fresh new look. Please note: Only those who have signed up since December 1, 2021 will be carried forward.
