CPT Code 83036 Billing Tips – Holiday Closures

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Holiday Closures

We want to wish everyone a happy holiday season.
Please note our holiday closures below.

  • We will be closed Monday, Dec. 25 in observance of Christmas.
  • We will resume business Tuesday, Dec. 26 during our regular hours.
  • We will be closed Monday, Jan. 1 in observance of New Years Day.
  • We will resume business Tuesday, Jan. 2 during our regular hours.

CPT Code 83036 Billing Tips

BCBSWY would like to remind Providers to include the category II claims when billing CPT code 83036. Starting in 2024, claims without the category II codes billed using CPT code 83036 will be denied. They will need to be
resubmitted as a corrected claim.

Please use the codes below now to ensure proper categorization.

CPT 83036 for a HbA1c laboratory test will need the appropriate Category II code on the same claim.

CAT II codes are an informational code and should be billed with either a $0.00 charge or a $0.01 charge if required by your system or clearing house.

CAT II codes are for diagnostic/ screening processes or results.

Category II Codes for HgbA1c

Code Usage
3044F-HbA1c —– Less than 7.0%
3051F-HbA1c —– Greater than or equal to 7.0% and less than 8.0%
3052F-HbA1c —– Greater than or equal to 8.0% and less than 9.0%
3046F-HbA1c —– Greater than 9.0%

Claim Adjustment Form

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