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CommercialBilling CodesHigh impact

HCPCS 2nd-quarter update: New, deleted codes

BCBS Michigan·MI·Coding
Effective date
Jul 1, 2026
We identified it
Aug 26, 2026
Days to comply

Summary

Blue Cross Blue Shield of Michigan has released a 2nd-quarter HCPCS update (effective July 1, 2026) adding 40+ new codes and deleting 1 code across multiple service categories including drugs/injections, procedures, IV therapy, and COVID-19 services. The billing team must immediately update coding systems to reflect new covered codes, non-covered codes, and facility-only restrictions to prevent claim denials and rejections.

Action Required

Action needed
By June 30, 2026: (1) Billing team must update billing software to DELETE code C9309 from active use and disable billing capability. (2) Add all 40 new codes to billing system master file with correct coverage indicators: mark codes G0574, G0575, G0674, G0675, G0678, G0577, G0669-G0677, C1609, and AC as 'Not Covered' (claims will be denied); mark C9310, C8014, M0231, M0232, Q0234 as 'Covered - Facility Only' (professional/office billing will be denied); mark all J-codes (J0528, J1289, J1577, J2361, J2374, J2789, J7176, J9053, J9062, J9232), Q-codes (Q5164-Q5171), and A9574 as fully 'Covered'. (3) Update encounter templates and charge capture screens to include new drug/injection codes. (4) Train billing staff and providers on non-covered codes to prevent inappropriate claim submission. (5) Configure billing system to apply 'Facility Only' restriction so office-based claims automatically reject or route for manual review. Failure to implement will result in significant claim denials, payment delays, and potential audit exposure.

Affected Billing Codes

A9574
AC
C9309
C9310
C1609
C8014
G0574
G0575
G0674
G0675
G0678
G0577
G0669
G0670
G0671
G0672
G0673
G0676
G0677
J0528
J1289
J1577
J2361
J2374
J2789
J7176
Q5164
Q5165
Q5166
Q5167
Q5168
Q5169
Q5170
Q5171
J9053
J9062
J9232
M0231
M0232
Q0234