CPT Code 65778 REIMBURSEMENT FOR AMNIOTIC TISSUE-CPT Code 65778 Doctor Referral Program Order Amniotic Membranes Amniotic Patches are used primarily in the treatment of acute and chronic cornea surface wounds and defects. G6008 Radiation treatment delivery, 2. Current and retiredreplaced policies are available. CPT codes covered if selection criteria are met 64400 - IntroductionInjection of anesthetic agent (nerve block), diagnostic or therapeutic not covered as sole treatment of chronic pain, for cluneal, ganglion, genicular, and obturator nerve blocks for chronic pain or for repetitive peripheral nerve blocks for chronic non-hyphenmalignant pain. CPT Code CPT Code CPT Code CPT Code CPT Code CPT Code CPT Code CPT Code 70336 70549 72146 73221 74182 77084 78811 93350 70450 70551 72147 73222 74183 78429 78812 93351 70460 70552 72148 73223 74185 78430 78813 93454 70470 70553 72149 73700 74261 78431 78814 93455. Inclusion or exclusion of a code does not constitute or imply member coverage or provider reimbursement. CPT Assistant Guide Coronavirus. BlueCross BlueShield of Illinois Advanced Imaging Code List Updated 12292018 V1. Code CPT II Code Descriptor Change Effective Publication 3045F Hemoglobin A1c level 7 9 Deleted January 1, 2020 CPT 2020 3051F than Most recent hemoglobin A1c (HbA1c) level greater or equal to 7. The 2020 CPT&174; manual includes Appendix P, which lists a summary of CPT codes that may be used for reporting synchronous (real-time) telemedicine services when appended by modifier 95. 1 Okt 2021. Complete List of Vaccine Names and CPTCVX Codes 69 2016-2017 Vaccine Trade Name or Common Name Best ASIIS Selection. Revenue Codes Major Category Description X indicates that a HCPCS or CPT code is required for outpatient UB-04 claims. 52 Benefit Requires Contracted (PAR) provider. 0 Routine general exam V72. To search for a code, press CTRLF on your keyboard and type the code in the search field. 64640 getting Denied by BCBS Thread starter Mehboobfidai5gmail. Medi-CalCal MediConnect Prior Auth Code List - June 2022 (PDF, 386 KB) Medi-CalCal MediConnect Prior Auth Code List - February 2022 (PDF, 586 KB) Medi-CalCal MediConnect Prior Auth Code List - December 2021 (PDF, 570 KB). Fetal and maternal evaluation (76801 - 76810) 2. An independent licensee of the Blue Cross Blue Shield Association. Radiology Coding BCBSNC will reimburse for HCPCS (G code) or CPT code, but not both, for the same date of service G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to G0204 or G0206) Page 2of 20 Updated June 2017. To search for a code, press CTRLF on your keyboard and type the code in the search field. guide and include the range of HCPCSCPT&174; codes that should be billed with the revenue code. Other members, the member&39;s PCP or treating provider. Healthcare Common Procedure Coding System (HCPCS) codes. Want unlimited access to CodingIntel's online library. Subject C HCPCS Code CPT&174; Cross Reference Table Keywords 508C; C HCPCS Code; CPT; Cross Reference Table; Created Date 3202019 25103 PM. 1 Agu 2022. The following is a list of preventive services (HCP rider) along with the diagnoses and procedure codes that Blue Cross and Blue Shield of Alabama has determined. 0636 - Drugs requiring detailed coding 0637 - Self-administered drugs 064X Home IV Therapy Services 0640 - General 0641 - Nonroutine nursing, central line 0642 - IV site care, central line 0643 - IV startcare, peripheral line 0644 - Nonroutine nursing, peripheral line 0645 - Training patientcaregiver, central line. 95; 14. CPT Codes 99401-99404, when used to designate a preventive service, must have the applicable wellnesspreventive diagnosis. The following list(s) of procedure andor diagnosis codes is provided for reference purposes only and may not be all inclusive. Enter a 5-character code (CPT, ADA, or. This list matches the vaccine name or codes in Arizona State Immunization Information System (ASIIS) with the brand name or other common names of the vaccines you use most often. Applicable Codes. New CPT codes that are covered by NC Medicaid are effective with date of service Jan. Written inquiries regarding BCBSMS Coding Policy may be mailed, faxed or sent via E-mail to Blue Cross & Blue Shield of Mississippi. Some payers may require the National Drug Code (NDC) for DaTscan, which is 17156-210-01. 92524 Behavioral and qualitative analysis of voice and resonance. What's New for 2022. View list below for complete requirements. Invalid claim data found on IRF claim. Please select your line of business and enter a CPT code to look up authorization for services. Use the Prior Authorization Lookup Tool within Availity or. Self-limitingminor problem, stable, improved, worsening (pt. Blue Cross and BlueShield of Alabama has announced that effective January. , and HMO or service. 97155 - CPT&174; Code in category Adaptive Behavior Treatment. Official Site of Empire Blue Cross Blue Shield affordable Medicare, Medical, Dental & Vision insurance. CPCP030 v. August 1, 2022. CPT Category I Pathology and Laboratory Codes for Severe Acute. Blue Advantage SM and Blue Advantage HMO SM Plus. Health insurance can be complicatedespecially when it comes to prior authorization (also referred to as pre-approval, pre-authorization and pre-certification). CPT 4. Type the policy name, number, CPT code, keyword or phrase to search for Display All Documents Alphabetically. As of 01012011, do not report CPT code 93228 with CPT codes 93224 and 93227. For medical billing purposes, ultrasound recordings are listed under the CPT codes ranging from 76801 to 76819. It&x27;s important to review this area in our provider newsletter each month. Diagnosis codes (ICD-10-CM) and procedure codes (ICD-10-PCS) now have more digits than. Table of Contents Related Page. Health care trends and forecasts 1. 3 and 90. This product includes CPT which is commercial technical data andor computer data bases andor commercial computer software andor commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515. insured product, member-initiated phone calls are covered at 20, regardless of a providers specialty. The first two alphabets of the prefix denote the plan and the third alphabet prefix denotes the type of product the insured choose for coverage. These code sets are required by all health insurance carriers nation wide. An Independent Licensee of the Blue Cross and Blue Shield Association. 61 34. This list includes Current Procedural Terminology (CPT) andor Healthcare Common Procedure Coding System (HCPCS) codes related to servicescategories for which benefit preauthorization may be required. CPT code information is copyright by the AMA. Shop Our Plans Account Login. However, the Medicare reimbursement rates for the newest code, 87426 is not yet announced by CMS. CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and procedures performed by physicians. Current Procedure Terminology codes are available to members of and subscribers to the American Medical Association, which holds the trademark on CPT codes. COVID-19 vaccine, vector-nr, rS-ChAdOx1, PF, 0. Commercial Communications. Code Text CARC RARC 002 This charge exceeds the maximum allowable under this member&x27;s coverage. All documentation must be available upon request. This list of codes applies to the Utilization Review Guideline titled Outpatient Surgical Procedures - Site of Service. NDC numbers required on claims effective July 1, 2022. Empire BlueCross and BlueShield Professional Reimbursement Policy. com; Start date Apr 30, 2017; M. The 2020 CPT&174; manual includes Appendix P, which lists a summary of CPT codes that may be used for reporting synchronous (real-time) telemedicine services when appended by modifier 95. Provider Contracting Department. On the Availity Web Portal, you can Run transactions to obtain member benefit, eligibility and claims information. Beginning Jan. Beginning in 2021, there will be a new code for reporting prolonged services together with an office visit. They represent the new industry standard codes for the novel coronaries antibody tests. by Government Relations Staff Article reviewed for accuracy March 2018 February 2004 Psychologists now have a more accurate, refined way of billing for services provided to patients with a physical health diagnosis, thanks to the advent of six new reimbursement codes under the Current Procedural Terminology (CPT &174;) coding system. Pre-authorization requirements are not dependent upon site of service. 31 Routine gyn exam G0010 Administration of Hepatitis B vaccine STDTACJan. 18, 2022 BlueCross How providers can better serve the Black community and their unique health needs. Prior Authorization Blue Cross Blue Shield of Massachusetts Prior Authorization Overview For some services listed in our medical policies, we require prior authorization. CPT 81479 Unlisted molecular pathology procedure; this is used to test for BRCA1 common duplications and deletions. Your health. The services on the List require authorization. CPT Code CPT Code CPT Code CPT Code CPT Code CPT Code CPT Code CPT Code 70336 70549 72146 73221 74182 77084 78811 93350 70450 70551 72147 73222 74183 78429 78812 93351 70460 70552 72148 73223 74185 78430 78813 93454 70470 70553 72149 73700 74261 78431 78814 93455. Different codes are used for PHP, IOP (Intensive Outpatient Program), ABA, EAP, Outpatient, Inpatient, Opiate Treatment, and other services. You must also study the distinction between similar CPT and HCPCS Level II code options. Here you will find information for assessing coverage options, guidelines for clinical utilization management, practice policies, the provider manual and support for delivering benefits to our members. This section of the policy is not intended to be a comprehensive list of all codes associated with the policy. Prior Authorization Lookup Tool. Find Drugs. This includes CT, CTA, MRI, MRA, MRS, Nuclear Cardiac, PET and CPT. Level II modifiers are codes and descriptors approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue. Face-to-face time with a patient during an evaluation and management service in the office or outpatient (non-facility) setting, nor. procedure codes require prior authorization when they are performed in the. For some services listed in our medical policies, we require prior authorization. In yet another document, as of September 2021, CME has issued a new set of CPT code modifiers, two of which are relevant to telehealth CPT code billing. BCBS COMM PA. To obtain authorization, please call Provider Services at 1-800-922-8866. Need to buy a Michigan health plan for you or your family Do you have questions about your existing individual or group policy Blue Cross is here. To use this new add-on code and be reimbursed properly, you must list this new CPT code in addition to the appropriate base echocardiography code congenital transthoracic (CPT codes 93303, 93304) or Transesophageal Echocardiography. The tables below provide criteria that Blue Cross Blue Shield of North Dakota (BCBSND) will use to determine the. Services necessary to perform the phlebotomy (CPT codes 36000, 36410, 96360-96376) are included in the procedure 49 the procedure. Example Prefix ZGP (Blue. It is designed to pay for the evenly applied screening of a large patient population to uncover underlying mental health conditions. 508C, C HCPCS Code CPT&174; Cross Reference Table Author BlueCross BlueShield of Tennessee. Please refer to the Clinical Edits by Code list for additional information. Major Revenue code list. For the most current information, check here regularly for updates. CPT CodeDescription. CPT Code 96127 may be used to report behavioral assessments in children and adolescents. Current and retiredreplaced policies are available. Policy Statement Blue Cross does not allow providers to bill the health plan for laboratory services that are not ordered by a physician or other qualified practitioner because, in addition to receiving lab. CVX Code CVX Short Description Sale Proprietary Name Sale Labeler MVX Code Unit of Sale NDC11 Unit of Use NDC11 Presentation CPT Code CPT Description; 149 influenza, live, intranasal, quadrivalent FluMist Quadrivalent MedImmune, LLC MED 66019-309-10 66019-309-01 APPLICATOR. 92523 Evaluation of speech sound production with evaluation of language comprehension and expression. 30, 2021 BlueCross Revisiting common COVID-19 vaccine questions. ENTER A PROCEDURE CODE OR DESCRIPTION OF THE SERVICE. The determination that a service, procedure, item, etc. To determine if prior authorization is required, please enter the 5-digit CPT code below. PRIOR AUTHORIZATION Prior Authorization is not required. This list has been compiled based on reports from the field. If the member transfers to the birthing center after the birth, only the postpartum code should be billed. Blue Shield of New Mexico (BCBSNM), Optum, or eviCore for . by Government Relations Staff Article reviewed for accuracy March 2018 February 2004 Psychologists now have a more accurate, refined way of billing for services provided to patients with a physical health diagnosis, thanks to the advent of six new reimbursement codes under the Current Procedural Terminology (CPT &174;) coding system. Forms Library. Do not bill four separate rows of one unit each. 036 SUR703. Reimbursement for DaTscan Coverage Policy Landscape. Provider Contracting Department. Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by. 31 Approval Date July 13, 2022 Terms and Conditions. The purpose of this policy is to describe coding guidelines for use of CPT codes 92002, 92004, 92012, 92014, 92015 and HCPCS II codes S0620 and S0621. ALL inpatient confinements require PA and usually ALL services provided by non-participating providers require PA. 3017F Colorectal cancer screening results documented and reviewed. Use CPT&174; code 85025 for complete CBC lab tests. Mental Health Add-On CPT Codes. (List separately in addition to code for primary procedure) Blue Cross NC 112007 15876 Suction assisted lipectomy; head and neck Blue Cross NC 712015 1012015. Access eContracting to view and sign agreement documents. Blue Cross Blue Shield of North Dakota is an independent licensee of the Blue Cross Blue Shield Association. 15825 Rhytidectomy; neck with platysmal tightening (platysmal flap, P-flap). CPT Service Description Notice Date. CPT Service Description Notice Date. Effective March 1, 2019, we will update select immunizations, vaccines and toxoids in the 90281-90396 and 90476-90756 Current Procedural Terminology (CPT) code ranges. The codes are distinguished by age-specific services and location where. Go directly to the BCN code lists. These code sets are required by all health insurance carriers nation wide. Medical Examinations and Evaluations with InitiationContinuation of Diagnostic and Treatment Program CPT codes 92002-92014 are for medical examination and evaluation with initiation or continuation of a diagnostic and treatment program. Self-limitingminor problem, stable, improved, worsening (pt. Inside Los Angeles County 1-888-285-7801. AIM manages procedures associated with code 74712 for Blue Cross commercial and BCN commercial members only. 45790 OH Medicaid CPT Codes Requiring PA WEB. On July 1, 2020, the Centers for Medicare and Medicaid Services (CMS) released the CPT code C9803, which replaced the CPT codes G2023 and G2024. The following CPT codes 11055, 11056, 11057, and 11719, are covered only when submitted with 1 of the following diagnosis codes. Current Procedural Terminology, Fourth Edition (CPT-4) Codes (Includes the CPT Anesthesia Codes) HCFA Common Procedure Coding System (HCPCS) National Level II Codes. Anesthesia CPT Codes have seen several changes for 2022. Benefits were extended by our Utilization Management department. insured product, member-initiated phone calls are covered at 20, regardless of a providers specialty. Skip to content. Physicians or advanced practice HCPs may bill under CPT code 95251. A complete list of valid modifiers is listed in the most current CPT or HCPCS code book. (5) For procedure code 71271, prior authorization is required only for Blue Cross commercial members, . This is a listing the codes found in the Company&39;s medical policies. This product includes CPT which is commercial technical data andor computer data bases andor commercial computer software andor commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515. Medicare Plus Blue. Medicare defines 95251 as a "professional component code,". com; Start date Apr 30, 2017; M. One or more of the new moderate sedation codes 99151- 99157 (such as 99152 and 99153 or 99156 and 99157). Coding updates occur quarterly with the largest volume effective January 1, of each year. Not eligible for separate payment. AIM manages procedures associated with code 74712 for Blue Cross commercial and BCN commercial members only. The appropriate administration code is chosen based on the type of vaccine and the specific dose number the patient receives in the schedule. Reset Lookup. Other options include CPT 81164 BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (e. 95; 14. CPT 81479 Unlisted molecular pathology procedure; this is used to test for BRCA1 common duplications and deletions. Short Description. Diagnostic Imaging Prior Review Code List 2nd Quarter 2022. 2337 minutes 2 units. Invalid claim data found on IRF claim. 59409 SB. 74150 CT abdomen; wo contrast 212007. Effective Date. EVALUATION AND MANAGEMENT CPT code 99201-99499 Full List; Medical Billing Downloads; Medical Billing Outsource;. Contact the Customer Care Center Outside Los Angeles County 1-800-407-4627. This will ensure that only claims billed with the new procedure codes are pended for processing. Table of Contents Related Page. 339 I70. APC 5012. PRESS "CTRL" AND "F" KEYS AT THE SAME TIME TO BRING UP THE SEARCH BOX. casey jones 2012, hunter ao3
Member portal. . Bcbs cpt code list
An Independent Licensee of the Blue Cross and Blue Shield Association. A virtual check-in code is designed to be a 5 to 10-minute phone call or video chat. The following coding guidelines should be used when codingbilling Osteopathic Manipulation Therapy &183; Osteopathic manipulative treatment includes a pre and post manipulation assessment. 5Z9 E10. Coding updates occur quarterly with the largest volume effective January 1, of each year. Not your member ID. 97155 - CPT&174; Code in category Adaptive Behavior Treatment. Blue Cross and Blue Shield of Texas. Diagnosis codes (ICD-10-CM) and procedure codes (ICD-10-PCS) now have more digits than. Enter CPT Code. 2022 Participating Provider Precertification List Effective date September 1, 2022 (PDF) Behavioral health precertification list effective date January 1, 2019 (PDF) For Aetnas commercial plans, there is no. HCPCS codes U0003 or U0004 SerologyAntibody Testing Antibody tests must be on the EUA list, be ordered by the patients provider, be medically necessary and have a high likelihood of impacting clinical decision making. 78 per 15 minute unit to 1 or more body area(s). ) max 1 New problem with additional workup planned (4 pts. Manage your health care choices with BCBSKS. Blue Cross considers only CPT and HCPCS modifiers that appear in the current CPT and HCPCS books as valid. Please refer to the Clinical Edits by Code list for additional information. The following codes for treatments and procedures applicable to this guideline are included below for informational purposes. MyBlue Health SM. Anyone who has worked in any portion of the medical field has had to learn at least a little bit about CPT codes. Authorization Lookup. CPT&174;HCPCS codes should be reported for each surgical procedure performed. The name you chose when you registered online. Drug name, CPTHCPCS Code or Code Description. The list below includes specific equipment, services, drugs, and procedures requiring review andor supplemental documentation prior to payment authorization. CPT Code(s) Carbon Dioxide (CO2) Abaxis Piccolo Blood Chemistry Analyzer (CMP, BMP, Electrolyte Discs, Metlyte 8, Renal) Abaxis, Inc 82374QW Abaxis Piccolo xpress Chemistry Analyzer (CMP, BMP, Electrolyte Discs, Metlyte 8, Renal) Abaxis, Inc 82374QW Abbott i-STAT CHEM8 Cartridge (WB) i-STAT Corporation 82374QW Catalase. What you need to know about CPT Codes 99453, 99454, and 99457. members covered. Also, keep in mind that transvaginal ulratsounds cannot be billed when performed as guidancevision for another procedure. Remittance advice. Medicare Plus Blue. 15274 Each additional 100 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure) CPT codes 15275-15278 For Wounds 1-99 sq cm on the Face, Scalp, Neck, Ears, Hands, Feet, etc. On the Availity Web Portal, you can Run transactions to obtain member benefit, eligibility and claims information. For a complete list of CPT II codes that can be used relative to the Commercial measures, see. CPT - G0202 77052 Mammogram, one breast CPT - G0204 . PRESS "CTRL" AND "F" KEYS AT THE SAME TIME TO BRING UP THE SEARCH BOX. Prior Authorization Procedure Codes List for Fully Insured Plans Effective 01012022 (Updated to include code changes effective 10012022) Administrative Services Only (ASO) Plans Administrative Services Only (ASO) plans will NOT have "TDI" indicated on the ID Card. E&M services performed in an Assisted Living Facility or Adult Living Facilities (13) should be reported using CPT codes 99321-99323, 99331-99333. Florida Blue and Florida Blue Medicare are Independent Licensees of the Blue Cross and Blue Shield Association. MHO10 40O1014 CPT Codes Requiring Prior Authorization Code Description of Code Comments 21034 Removal of face bone lesion 21040 Removal of jaw bone lesion 21044 Removal of jaw bone lesion 21045 Extensive jaw surgery. . Independent licensees of the Blue Cross Blue Shield Association serving 21 counties in Central Pennsylvania and the Lehigh Valley. Here you will find information for assessing coverage options, guidelines for clinical utilization management, practice policies, the provider manual and support for delivering benefits to our members. MHO10 40O1014 CPT Codes Requiring Prior Authorization Code Description of Code Comments 21034 Removal of face bone lesion 21040 Removal of jaw bone lesion 21044 Removal of jaw bone lesion 21045 Extensive jaw surgery. Radiology Coding BCBSNC will reimburse for HCPCS (G code) or CPT code, but not both, for the same date of service G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to G0204 or G0206) Page 2of 20 Updated June 2017. , an Independent Licensee of the Blue Cross Blue Shield Association. Hot or cold packs, application of a modality to one or more areas. These code sets are required by all health insurance carriers nation wide. Blue Advantage SM and Blue Advantage HMO SM Plus. For patients who require psychiatry services or adaptive behavior services as well as health and behavior assessment and intervention (CPT codes 96156, 96158, 96159, 96164, 96165, 96167 and 96168), report the predominant service performed. CMS COVID-19 Emergency Declaration Healthcare Providers Fact Sheet. Procedure Code Updates for Prior Authorization June 29, 2020 On Sept. 6, 2017. CPT Code. Evaluation and Management (EM) Coding. It is designed to pay for the evenly applied screening of a large patient population to uncover underlying mental health conditions. Current Procedural Terminology (CPT) and Healthcare Common Procedure Code System (HCPCS) codes may be added, deleted or revised with each update. Medicare telehealth services practitioners use 02 if the telehealth service is delivered anywhere except for the patients home. Failure to provide the NDC on your claim or not provide the entire 11-digit code. 85576-26 Platelet aggregation 86255-26 Fluorescent Ab, screen 86256-26 Fluorescent Ab, titer 86320-26 S IEP 86325-26 UrineCSF IEP 86327-26 2-D IEP 86334-26 S immunofixation CLINICAL PATHOLOGY INTERPRETATIONS 86335-26 UrineCSF immunofixation 87164-26 Darkfield exam 87207-26 Smear, inclusion bodiesparasites. BCBS denial code list BCBS Of Tennessee - Commercial Remittance Advice Code Descriptions Exp. Date Ineffective. At Highmark Blue Cross Blue Shield of Western New York, weve built our legacy around empowering our communities and helping you be your very best you. Medical & Pharmacy Policies and GuidelinesDental InformationMedical Policies (Medical Coverage Guidelines)Medication GuidesMedical Policy and Pre-Certification Pre-Authorization InformationPain ManagementPart B Step TherapyPayment PoliciesPractice & Preventive Service GuidelinesPrior Authorization for Medical Services. The 34 independent BCBS companies insure more than 107 million members across all 50 states, the District of Columbia, and Puerto Rico. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. 27032021. 1, 2018, providers will be. Colonoscopy CPT Codes 45378-45398, G0105, G0121 The American Society for Gastrointestinal Endoscopy (ASGE) works to ensure that adequate methods are in place for gastroenterology practices to report and obtain fair and reasonable reimbursement for procedures, tests and visits. Applicable Codes. EVALUATION AND MANAGEMENT CPT code 99201-99499 Full List; Medical Billing Downloads; Medical Billing Outsource;. Shop Our Plans Account Login. Check Claims Claim Explanation Codes Request a Claim Adjustment. Listed below are place of service codes and descriptions. List the correct modifiers with the appropriate CPT code (e. what is max dc performance earthquake tiller mc43 fuel line. Forms Library. Click a link to. Written inquiries regarding BCBSMS Coding Policy may be mailed, faxed or sent via E-mail to Blue Cross & Blue Shield of Mississippi. Whenever possible, get prior authorization before receiving treatment or check that your doctor has gotten approval. Check out the changes and updates to our plan in 2022. Blue Cross and Blue Shield of Louisiana Medical Policy Coverage Guidelines. Find Drugs. 30, 2021 BlueCross Revisiting common COVID-19 vaccine questions. COVID-19 vaccine, vector-nr, rS-ChAdOx1, PF, 0. 0020-0024 Health Insurance Prospective Payment System (HIPPS) 0010-0239 Room and Board. 1, 2018, providers will be. Radiology Coding BCBSNC will reimburse for HCPCS (G code) or CPT code, but not both, for the same date of service G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to G0204 or G0206) Page 2of 20 Updated June 2017. Major Revenue code list. , first dose, second dose), and counseling, when performed. Code reference section of the policy provides a list of primary CPT, HCPCS and ICD-9-CM codes applicable to the policy. CPT Codes and Description. Industrial Commission has adopted NCCI Edits,. Healthy You Provider Information &187; E-Solutions & Online Tools &187; Provider Information &187; Articles & Updates. Question BCBS denying malignant excisions as benign We have recently recieved an influx of denials on malignant excisions for basal cell carcinoma due to the fact that --according to BCBS-- BCC is considered benign "because it. If the patient is in their home, use 10. . horse trailers for sale in ga