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Network News - 3rd Quarter 2022
Effective date
Not stated in the notice
Identified
Jun 20, 2026
Summary
Blue Cross and Blue Shield of Louisiana added HCPCS codes A9596, A9601, C9094, C9095, C9096, C9097, J0739, J1306, J1551, J2356, J2779, J2998, J3299, J9331, J9332, Q4259, Q4260 and Q4261 to its claims system effective July 1, 2022. For dates of service on and after August 15, 2022, the COVID-19 treatment bebtelovimab is reimbursed when billed with Modifier UC, which identifies the medication as commercially purchased, and the same administration codes are used for commercially purchased and government-supplied medication. Updated professional allowable charges for flu vaccination codes take effect for dates of service on and after November 1, 2022, and the new charges can be viewed in the Professional Provider Allowable Charges Search tool in iLinkBlue. FEP requires prior authorization for admission to residential treatment centers, and an administrative denial results if prior authorization is not obtained or the member is not enrolled in New Directions care management.
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What to do
Action · 19 steps
01Already effective July 1, 2022: Billing team should note that the HCPCS codes listed in this issue were added to the claims system effective July 1, 2022.
02Already effective August 15, 2022 for dates of service on or after that date: When billing commercially purchased bebtelovimab, bill it with Modifier UC.
03For government-supplied bebtelovimab, claims have no changes, and providers use the same administration codes for commercially purchased and government-supplied medication.
04Effective for dates of service on and after November 1, 2022: Billing team should look up the new professional allowable charges for flu vaccination codes in iLinkBlue by selecting Payments, then the Professional Provider Allowable Charges Search tool, and entering 11/01/2022 in the Select a Date field.
05Before admitting an FEP member to a residential treatment center: Obtain prior authorization, because FEP will not allow a medical necessity review if a member is admitted before an authorization request is submitted.
06Members must be enrolled in New Directions care management before any authorization request is approved, and FEP allows 72 hours to complete the assessment.
07Failure to obtain prior authorization and/or enroll an FEP member in care management will result in an administrative denial.
08To request a care management assessment, email Louisiana_CM@NDBH.com or call 1-800-762-2382.
09For well child visits billed with a sick visit on the same day: File the well-child CPT code and the sick visit CPT code with Modifier 25.
10Submit consistent, detailed claims, and include all existing conditions on the claim at the time of each visit.
11Document all procedures done by other physicians with a date and result.
12Quality Blue providers: Verify participating Tax Identification Numbers and submit a QB TIN Listing Form Previously due October 31, 2022 (date passed; verify current applicability).
13This was the only time within the year that additions to a provider's TIN listing were allowed.
14Behavioral health: Nurse practitioners and physician assistants with advanced psychiatry certification should notify Blue Cross by completing the Provider Update Request Form, adding the behavioral health specialty as a secondary specialty and attaching a copy of the certification.
15Billing team: Upload documents through iLinkBlue under Claims, then Medical Records, then Document Upload, instead of faxing, emailing or mailing them to select departments.
16Administrative representatives must use the new Delegated Access application in iLinkBlue to manage security access for iLinkBlue users, and multi-factor authentication is required for iLinkBlue access.
17Providers: Do not decline the Provider Attestation Form.
18If a provider no longer works at a location, fill out the Provider Update Request Form to terminate the provider.
19Share this newsletter with your billing department and with the staff who work with Blue Cross reimbursement.
Codes mentioned
A9596A9601C9094C9095C9096C9097J0739J1306J1551J2356J2779J2998J3299J9331J9332Q4259Q4260Q4261C9098906539066290672906749068290685906869068790688906949075690584G0308G030999381993829938399384993859939199393993949939599461Z00.00Z00.01Z00.110Z00.121Z00.129Z00.2Z00.3Z02.5Z76.1Z76.2G0438G0439S0302
Original notice
Network News - 3rd Quarter 2022
providers.lablue.com · Always check the source before changing claims.
Related changes
See all Blue Cross and Blue Shield of Louisiana changes →Network News - 1st Quarter 2021MediumEffective Apr 1, 2021 · Provider NewsNetwork News - 3rd Quarter 2017MediumEffective Nov 1, 2017 · Provider NewsNetwork News - 1st Quarter 2017MediumEffective Mar 16, 2017 · Provider NewsNetwork News - 4th Quarter 2024MediumNo effective date · 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 changesPediatricsFamily MedicineInternal MedicinePsychiatryPharmacyCode A9596Code A9601Code C9094Code C9095Code C9096Code C9097Code J0739Code J1306Code J1551Code J2356Code J2779Code J2998Code J3299Code J9331Code J9332Code Q4259Code Q4260Code Q4261Code C9098Code 90653Code 90662Code 90672Code 90674Code 90682Code 90685Code 90686Code 90687Code 90688Code 90694Code 90756Code 90584Code G0308Code G0309Code 99381Code 99382Code 99383Code 99384Code 99385Code 99391Code 99393Code 99394Code 99395Code 99461Code Z00.00Code Z00.01Code Z00.110Code Z00.121Code Z00.129Code Z00.2Code Z00.3Code Z02.5Code Z76.1Code Z76.2Code G0438Code G0439Code S0302