Coding Advice

Announcements

Cervical Cancer Screening Codes
Together, we understand the critical importance of women receiving cervical cancer screening for early identification to enhance their safety and the health outcomes. To monitor the cervical cancer screenings of BCBSWY members, please help us by including all applicable cervical cancer screening codes for your patients along with the global billing codes. A coding guide is provided for your convenience here. Thank you for your dedication to healthy outcomes and assisting BCBSWY.

Advanced Claim Editing

We are sharing coding advice to help Providers prepare for our automated claims review process starting March of 2023. These ongoing tips help ensure your claims are properly coded.

Coding Advice

  • BCBSWY will deny procedures for which Team Surgery is not allowed when billed with modifier 66. For example, CPT 28285.
  • BCBSWY will deny the procedure billed without modifier 66 when there exists a previously processed claim for the same procedure code with modifier 66 by any provider.
  • BCBSWY will deny the procedure billed with modifier 66 when there exists a previously processed claim for the same procedure code without modifier 66 by any provider.

Share

Related Posts
ASC Reimbursement Update
ASC Reimbursement Update Blue Cross Blue Shield of Wyoming is committed to providing you with updates on upcoming policy and reimbursement changes. Effective, 9/1/24,…
Medical Policy Update
Prior Authorization Submission Reminder BCBSWY is committed to improving communication and knowledge of medical policy updates. Effective 9/1/2024, BCBSWY will implement a new medical…
Reimbursement Update May 16-2024
Prior Authorization Submission Reminder Providers should be using the online prior authorization submission portal in Availity. It is now live and fully accessible. To…

Fewer Hassles. Better Service.