Diagnosis Code Policy & Behavioral Health Guidelines Updates 

Coding Clarification – Diagnosis Code Policy 

Thank you for your feedback regarding our Diagnosis Code Policy. We have clarified our language to avoid further confusion. 

Diagnosis Code Policy 

If a provider bills an E&M service on the same date as the preventive medicine service (typically on the same claim), with a Z code as the only diagnosis, that is when the E&M code would be denied. 

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 by Dec. 1. Please note: Only those who have registered in the last 12 months will be carried forward.    

Behavioral Health Guidelines Updates 

BCBSWY has updated the Behavioral Health Guidelines. Please see the updated document here.


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