CommercialBilling CodesMedium impact
Network News - 2nd Quarter 2021
Blue Cross and Blue Shield of Louisiana·LA · Physical Therapy, Chiropractic·Provider News
Effective date
Apr 1, 2021
We identified it
Jun 20, 2026
Summary
Blue Cross and Blue Shield of Louisiana updated their facility drug allowable list and outpatient procedure code ranges, adding multiple new HCPCS codes effective April 1, 2021. The policy also clarifies billing rules for physical therapy services and emphasizes that providers must bill under their own provider numbers rather than using incident-to billing.
Action Required
Immediately: Update billing software to accept the new HCPCS codes (C9074, J1427, J1554, J7402, J9037, J9349, and others listed) for facility drug billing and outpatient procedures. Ensure physical therapy services are only billed by licensed PTs under their own provider numbers, not under supervising physicians. Verify all timed therapy codes (97032-97039, 97110-97160, 97530-97546) include documented start/stop times for direct patient contact. Use CPT 97140 for dry needling services instead of unlisted codes.