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Network News - 3rd Quarter 2024
Effective date
Not stated in the notice
Identified
Jun 20, 2026
Summary
Already effective October 1, 2024, Blue Cross and Blue Shield of Louisiana added the listed CPT and HCPCS codes to its Diagnostic and Therapeutic Services code range, including 90624, 0476U and J2002. Medical policies with effective dates from August 12 through October 20, 2024 were updated or newly issued, including policy 00006 Autologous Chondrocyte Implantation for Focal Articular Cartilage Lesions and policy 00236 Axial Lumbar Interbody Fusion. The updated provider manuals include policy changes and other reimbursement changes that apply to services on and after January 1, 2025.
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What to do
Action · 5 steps
01Already effective October 1, 2024: Check the added codes in the Diagnostic and Therapeutic Services code range and check current applicability before billing them.
02Urgent care providers: When billing for services provided by a nurse practitioner or physician assistant, include Modifier SA; see Section 5.38-2 in the Urgent Care section of the Professional Provider Office Manual.
03Billing team: Review the 2025 provider manuals carefully for changes that apply to services on and after January 1, 2025.
04When Louisiana Blue vendors Accordant, Reveleer, Varis or SymplrCVO contact you to verify information or request records, provide the documentation, such as medical records, at no cost, as the Louisiana Blue network agreement requires.
05Under Medical Policy No. 00324, GLP-1 is only covered for patients with a type 2 diabetes mellitus diagnosis.
Codes mentioned
90624A2027A2028A2029A4543A4544A4545A7021A9610C8000C9169C9170C9171C9172J0138J1171J1749J2002J2003J2004J2252J2253J2601J8522J8541J9329P9027Q0519Q0520Q4334Q4335Q4336Q4337Q4338Q4339Q4340Q4341Q4342Q4343Q4344Q4345Q5135Q5136
Original notice
Network News - 3rd Quarter 2024
providers.lablue.com · Always check the source before changing claims.
Related changes
See all Blue Cross and Blue Shield of Louisiana changes →Network News - 3rd Quarter 2015MediumNo effective date · Provider NewsNetwork News - 3rd Quarter 2016MediumNo effective date · Provider NewsNetwork News - 3rd Quarter 2017MediumEffective Nov 1, 2017 · Provider NewsNetwork News - 3rd Quarter 2018MediumEffective Jun 1, 2019 · Provider NewsBrowse every Blue Cross and Blue Shield of Louisiana change in the policy list
Related policy hubs
Blue Cross and Blue Shield of Louisiana policiesLA policy changesOrthopedicsGeneral PracticeEndocrinologyCode 90624Code A2027Code A2028Code A2029Code A4543Code A4544Code A4545Code A7021Code A9610Code C8000Code C9169Code C9170Code C9171Code C9172Code J0138Code J1171Code J1749Code J2002Code J2003Code J2004Code J2252Code J2253Code J2601Code J8522Code J8541Code J9329Code P9027Code Q0519Code Q0520Code Q4334Code Q4335Code Q4336Code Q4337Code Q4338Code Q4339Code Q4340Code Q4341Code Q4342Code Q4343Code Q4344Code Q4345Code Q5135Code Q5136