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CommercialBilling CodesMedium impact

Network News - 3rd Quarter 2024

Blue Cross and Blue Shield of Louisiana·LA·Provider News
Effective date
Oct 1, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

Blue Cross and Blue Shield of Louisiana rebranded to Louisiana Blue and released 2025 provider manuals with policy changes effective January 1, 2025. New diagnostic and therapeutic service codes were added effective October 1, 2024, and urgent care providers must use Modifier SA when billing for nurse practitioner or physician assistant services.

Action Required

Action needed
Immediately: Update billing system to include new diagnostic and therapeutic service codes effective October 1, 2024. Urgent care billing staff must add Modifier SA to all services provided by nurse practitioners or physician assistants. By January 1, 2025: Review and implement changes from the 2025 provider manuals available at www.lablue.com/providers under Resources/Manuals. Update website bookmarks and references from old BCBS Louisiana URLs to new Louisiana Blue website www.lablue.com.

Affected Billing Codes

90624
A2027
A2028
A2029
A4543
A4544
A4545
A7021
A9610
C8000
C9169
C9170
C9171
C9172
J0138
J1171
J1749
J2002
J2003
J2004
J2252
J2253
J2601
J8522
J8541
J9329
P9027
Q0519
Q0520
Q4334
Q4335
Q4336
Q4337
Q4338
Q4339
Q4340
Q4341
Q4342
Q4343
Q4344
Q4345
Q5135
Q5136