CommercialCoverageMedium impact
New/Emerging Technology & Services 11.01.27
Excellus BlueCross BlueShield·Miscellaneous
Effective date
Nov 20, 2025
We identified it
Jun 20, 2026
Summary
Excellus BlueCross BlueShield updated their policy on new/emerging technology and services, clarifying that Category III CPT codes (temporary codes for new technologies) will generally be considered investigational and not covered unless specific coverage criteria exist in an active Corporate Medical Policy.
Action Required
By November 20, 2025: Billing team should verify coverage for any Category III CPT codes (temporary alphanumeric T codes) before submitting claims to Excellus BlueCross BlueShield. Check the New/Emerging Technology and Services Code List referenced in the policy for specific coverage criteria. Claims for Category III codes without established coverage may be denied as investigational.