When does this change take effect?

This change is effective Jan 1, 2026.

Which billing codes are affected?

The following codes are affected: C8007, C8008, C8009, C8011, C8012, C8013.

CommercialBilling CodesMedium impact

2026 annual late release HCPCS update: New codes

Q: Who is affected by this change?

This affects BCBS Michigan General Surgery, Orthopedics, Ophthalmology, ENT (Ear, Nose & Throat), Urology, OB-GYN providers in MI on Commercial plans.

BCBS Michigan·MI · General Surgery, Orthopedics, Ophthalmology +3 more·Coding

Effective date

Jan 1, 2026

We identified it

Jun 16, 2026

Days to comply

—

Summary

CMS has released new HCPCS codes C8007-C8013 for outpatient prospective payment system surgery procedures. Blue Cross Blue Shield of Michigan will cover codes C8007-C8009 but will not cover codes C8011-C8013, all effective January 1, 2026.

Action Required

Action needed

By January 1, 2026: Billing team must update billing system to include new HCPCS codes C8007, C8008, C8009 as covered services and C8011, C8012, C8013 as non-covered services for Blue Cross Blue Shield of Michigan. Update encounter forms and fee schedules accordingly. Claims submitted with non-covered codes C8011-C8013 will be denied.

Affected Billing Codes

C8007

C8008

C8009

C8011

C8012

C8013

Related policy hubs

BCBS Michigan policies MI policy changes General Surgery Orthopedics Ophthalmology ENT (Ear, Nose & Throat)Urology OB-GYN Code C8007 Code C8008 Code C8009 Code C8011 Code C8012 Code C8013