Reimbursement Update for E&M and Medicine Services

Effective February 1, 2021 Blue Cross Blue Shield of Wyoming is implementing changes to its reimbursement, particularly in the areas of Evaluation and Management and Medicine.

The new reimbursement:

  • incorporates recent CMS changes to E&M code definitions,
  • accomplishes a full conversion of all E&M and Medicine codes to national RBRVS, and
  • recognizes place of service.

Adjusting to a single weight set means increases to some codes and decreases to others.  Overall, our goal with this change is to continue to increase E M reimbursement, as we have for the past two years.  We estimate the reimbursement changes will result in a 5% overall increase in reimbursement for E &M and Medicine

We wish you the best in the coming year!

BCBSWY Mailing Address:
PO Box 2266, Cheyenne, WY
82003 2266

Blue Cross Blue Shield of Wyoming is an independent licensee of the Blue Cross and Blue Shield Association

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