Medicare AdvantageAdministrativeHigh impact
Billing chart: Blue Cross highlights medical, benefit policy changes
BCBS Michigan·MI·Claims & Billing
Effective date
Sep 1, 2026
We identified it
Aug 26, 2026
Summary
Blue Cross Blue Shield of Michigan has published its September 2026 Billing Chart with updates to procedure codes, billing guidelines, covered procedures, and group benefit changes. The billing team must review the detailed chart to identify newly payable procedures, updated billing guidelines, policy clarifications, experimental (non-covered) procedures, and group benefit modifications specific to their claims.
Action Required
By September 30, 2026: Billing team must access and review the complete September 2026 Billing Chart (linked in the policy). Identify all procedure codes under the following categories: (1) New Payable Procedures, (2) Updates to Payable Procedures, (3) Policy Clarifications, and (4) Experimental Procedures. Update billing software and encounter forms accordingly with new codes and modified billing guidelines. For Medicare Advantage claims, cross-reference the Medical Policy Router on bcbsm.com to identify any separate MA policies that may override commercial coverage decisions. Access detailed policy descriptions via Availity Essentials (availity.com > Payer Spaces > BCBSM/BCN > Benefit Explainer > Commercial Policy tab > search by HCPCS code). For group-specific benefit changes, identify affected groups and communicate changes to affected providers and front desk staff. Failure to implement billing guideline updates may result in claim denials or payment delays.