CommercialBilling CodesMedium impact
Hormone Pellet Implantation for Hormone Replacement Therapy (HRT) in Women
Blue Cross & Blue Shield of Mississippi·MS · Endocrinology, OB-GYN, Family Medicine +1 more·Medical Policy
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
BCBS MS updated their policy on hormone pellet implantation for HRT in women, adding new HCPCS code J1073 effective January 1, 2026. The policy continues to classify all subcutaneous hormone pellet implantations as investigational and not covered.
Action Required
By January 1, 2026: Billing team must update system to include new HCPCS code J1073 in the non-covered/investigational category for hormone pellet implantations. Ensure claims using J1073 are flagged as not covered for BCBS MS patients. Update encounter forms to reflect this code is investigational and will be denied.