Who is affected by this change?

This affects Blue Cross & Blue Shield of Mississippi Ophthalmology providers on All Plans plans.

When does this change take effect?

This change is effective Jan 1, 2024.

Which billing codes are affected?

The following codes are affected: 67299, 67516.

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Suprachoroidal Delivery of Pharmacological Agents

Blue Cross & Blue Shield of Mississippi·Ophthalmology·Medical Policy

Effective date

Jan 1, 2024

We identified it

Jun 20, 2026

Days to comply

—

Summary

This policy confirms that suprachoroidal delivery of pharmacological agents for posterior eye segment diseases remains investigational and not covered. A new CPT code 67516 became effective January 1, 2024, replacing the deleted code 0465T for billing these procedures.

Action Required

Action needed

Immediately: Update billing system to use CPT code 67516 instead of deleted code 0465T for suprachoroidal space injections. Note that these procedures are considered investigational and will likely be denied. Billing team should verify coverage with specific payers before performing these procedures and inform patients of potential non-coverage.

Affected Billing Codes

67299

67516

Related policy hubs

Blue Cross & Blue Shield of Mississippi policies Ophthalmology Code 67299 Code 67516