All PlansBilling CodesMedium impact
Review the Latest Update to Our Professional Provider Manual
CareFirst BlueCross BlueShield·Provider News
Effective date
Dec 31, 2019
We identified it
Jun 20, 2026
Summary
CareFirst has updated their Professional Provider Manual with two key changes: the Profile Score section now indicates when CareFirst may use scores to create new networks, and procedure code 76930 became invalid for both Specialists and PCPs effective December 31, 2019.
Action Required
Immediately: Billing team must stop using CPT code 76930 for all CareFirst claims as it became invalid on 12/31/19. Update billing software to block this code for CareFirst submissions. Review and download the updated Professional Provider Manual at carefirst.com/professionalmanual to understand Profile Score changes that may affect network participation.