All PlansReimbursementMedium impact
Reimbursement Policy Updates
BCBS New Mexico·NM·Reimbursement
Effective date
May 1, 2026
We identified it
Jun 18, 2026
Summary
BCBS New Mexico updated 10 laboratory testing policies and posted 1 new sepsis policy. The laboratory policy updates include testing for conditions like vitamin D, testosterone, iron, and various specialized diagnostic tests, all effective May 1, 2026.
Action Required
Before May 1, 2026: Billing team must review and obtain the updated laboratory testing policies CPCPLAB067, CPCPLAB003, CPCPLAB008, CPCPLAB009, CPCPLAB010, CPCPLAB023, CPCPLAB028, CPCPLAB038, CPCPLAB064, and CPCPLAB069 from BCBS New Mexico to understand new reimbursement rules. Also review new sepsis policy CPCP041 for applicable billing guidelines. Update billing procedures and staff training accordingly.