Summary
Blue Cross adds an inpatient unbundling policy effective January 1, 2021 for inpatient acute care claims received on and after that date, under which the listed supplies, items and services bundle with room and board charges, are not separately reimbursable, and are not billable to members. Effective March 1, 2021, consultation codes 99241-99245 and 99251-99255 are invalid for submission to Blue Cross, and office visit reimbursement is reduced by 50% when the same provider performs an E&M office visit on the same day as a preventive medical exam and the service is billed as a significant separately identifiable E&M service. AIM program code changes effective January 1, 2021 add 71271 to the High-tech Imaging Program and remove 63180 and 63182 from the spine program.
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