CommercialDocumentationMedium impact
Comfort, Convenience, or Custodial Services 11.01.11
Excellus BlueCross BlueShield·Family Medicine, Internal Medicine, General Practice +7 more·Miscellaneous
Effective date
Dec 18, 2025
We identified it
Jun 20, 2026
Summary
Excellus BlueCross BlueShield updated their policy on Comfort, Convenience, or Custodial Services, removing cosmetic content (now covered in a separate policy) and clarifying that services in these categories will require medical necessity review by a Health Plan Medical Director with additional documentation.
Action Required
By December 18, 2025: Billing team must prepare to provide additional pertinent information and documentation when submitting claims for services that may be classified as comfort, convenience, or custodial care (including DME items like environmental controls, physical fitness equipment, stair lifts, ergonomic chairs, and custodial care services). Ensure providers document medical necessity clearly as these claims will undergo medical director review.