CPCP006 Preventive Services Policy Updated Effective 02/01/2025
AI Summary
Blue Cross and Blue Shield of Texas updated their Clinical Payment and Coding Policy CPCP006 for Preventive Services, effective February 1, 2025. The changes are based on United States Preventive Services Task Force updates and American Medical Association procedure code updates, but specific details of what changed are not provided in this notice.
Action Required
By February 1, 2025: Billing team must review the updated CPCP006 Preventive Services Policy on the BCBSTX provider website under Standards and Requirements > Clinical Payment and Coding Policies. Verify eligibility and benefits before rendering preventive services to ensure procedures remain covered benefits. Contact local BCBSTX Network Management office if clarification is needed on specific preventive service coding changes.
Plan Types
Commercial
States
TX
Specialties
family-medicine, internal-medicine, general-practice, pediatrics, ob-gyn