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BCBS IllinoisCommercial · Reimbursement · General · IL · OrthopedicsMedium impact

Procedure Code and Fee Schedule Updates

Act
by May 26, 2026
Effective date
Jun 1, 2026
Identified
Jun 16, 2026

Summary

Blue Cross Blue Shield Illinois will launch their annual Schedule of Maximum Allowances update on June 1, 2026, affecting reimbursement rates for durable medical equipment, prosthetics, orthotics, and clinical laboratory services. The update is based on CMS revisions to the resource-based relative value scale and affects PPO and Blue Choice PPO fee schedules for professional providers.

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What to do

by May 26, 2026 · 3 steps
01Billing team must request updated fee schedules using the Fee Schedule Request Form or the Fee Schedule Listing tool on Availity Essentials.
02Review new reimbursement rates for DME, prosthetics, orthotics, and lab services.
03Update billing system with new allowable amounts effective June 1, 2026 to ensure accurate reimbursement expectations.

Original notice

Procedure Code and Fee Schedule Updates
bcbsil.com · Always check the source before changing claims.
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Related changes

See all BCBS Illinois changes →
Procedure Code and Fee Schedule UpdatesHighEffective Jan 1, 2027 · GeneralProcedure Code and Fee Schedule UpdatesMediumEffective Sep 1, 2026 · GeneralBrowse every BCBS Illinois change in the policy list

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BCBS Illinois policiesIL policy changesOrthopedics

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