Clinical Payment and Coding Policy Updates
AI Summary
Blue Cross Blue Shield of Texas updated 17 laboratory management policies and implemented 1 new maternity services policy, affecting payment rules and coding methodologies for various lab tests and OB services. These changes include updates to common tests like PSA, thyroid testing, HIV testing, and colorectal cancer screening.
Action Required
By August 8, 2025: Billing team must review and update billing procedures for 17 laboratory policies including Flow Cytometry, PSA Testing, Biomarker Testing for Autoimmune Rheumatic Disease, Allergen Testing, Prenatal Screening, Pediatric Preventative Screening, H. Pylori Testing, Thyroid Disease Testing, Micronutrient Analysis, Salivary Hormone Testing, Dry Eyes Evaluation, Lyme Disease Testing, Parathyroid/Calcium/Magnesium Testing, Thrombosis Risk Testing, HIV Testing, Onychomycosis Testing, Drug Testing, and Colorectal Cancer Screening. By August 19, 2025: Update billing procedures for new Global OB Maternity Services Policy. Access full policy documents from BCBS Texas provider portal to understand specific coding and payment changes.
Plan Types
All Plans
States
TX
Specialties
laboratory, ob-gyn, family-medicine, internal-medicine, pediatrics, gastroenterology, endocrinology, rheumatology, infectious-disease, dermatology, ophthalmology