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Clinical Payment and Coding Policy Updates
Effective date
Dec 1, 2025
Identified
Jan 12, 2026
Summary
Blue Cross Blue Shield Texas updated 10 Clinical Payment and Coding Policies affecting various specialties, with effective dates ranging from December 1, 2025 to March 20, 2026. The updates cover facility unbundling, preventive services, psychological testing, behavioral analysis, drug testing, E&M coding, corrected claims, readmissions, and point-of-care ultrasound policies.
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What to do
Action · 3 steps
01Before December 1, 2025: Review all 10 updated Clinical Payment and Coding Policies (CPCP002, CPCP006, CPCP008, CPCP011, CPCP020, CPCP024, CPCP025, CPCP027, CPCP030, and EIU Code List).
02Billing team must update coding practices and documentation requirements for affected services including facility unbundling, preventive services, psychological testing, behavioral analysis, drug testing, E&M coding, corrected claims, readmissions, and point-of-care ultrasound.
03Update billing software rules and provider documentation templates to align with new policy requirements across all effective dates through March 20, 2026.
Original notice
Clinical Payment and Coding Policy Updates
bcbstx.com · Always check the source before changing claims.
Related changes
See all BCBS Texas changes →Clinical Payment and Coding Policy UpdatesMediumEffective Apr 24, 2026 · Medical PolicyReimbursement Policy UpdatesMediumEffective Mar 27, 2026 · ReimbursementCPCP041 Sepsis Policy Updated Effective 04/01/2025MediumEffective Apr 1, 2025 · GeneralClinical Payment and Coding Policy UpdatesHighEffective Oct 31, 2025 · Medical PolicyBrowse every BCBS Texas change in the policy list