Who is affected by this change?

This affects Blue Cross & Blue Shield of Mississippi Nephrology providers in MS on Commercial plans.

When does this change take effect?

This change is effective Aug 28, 2024.

Which billing codes are affected?

The following codes are affected: B5000, B5100, B5200, B4105, N18.30, N18.31, N18.32.

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Intradialytic Parenteral Nutrition

Blue Cross & Blue Shield of Mississippi·MS · Nephrology·Medical Policy

Effective date

Aug 28, 2024

We identified it

Jun 20, 2026

Days to comply

—

Summary

This is a policy update changing the medical policy number for Intradialytic Parenteral Nutrition from A.8.01.44 to L.8.01.413. The policy defines when intradialytic parenteral nutrition during hemodialysis is considered medically necessary versus investigational, with no changes to coverage criteria.

Action Required

Action needed

Immediately: Update billing system and documentation to reference new policy number L.8.01.413 instead of A.8.01.44 for intradialytic parenteral nutrition claims. Verify that existing prior authorization and coverage determination processes remain unchanged as only the policy number has been updated.

Affected Billing Codes

B5000

B5100

B5200

B4105

N18.30

N18.31

N18.32

Related policy hubs

Blue Cross & Blue Shield of Mississippi policies MS policy changes Nephrology Code B5000 Code B5100 Code B5200 Code B4105 Code N18.30 Code N18.31 Code N18.32