All PlansReimbursementMedium impact
Reimbursement Policy Updates
BCBS Montana·MT · Family Medicine, Internal Medicine, Infectious Disease·Reimbursement
Effective date
Apr 1, 2026
We identified it
Jun 18, 2026
Summary
Blue Cross Blue Shield of Montana updated their reimbursement policy CPCPLAB044 for Lyme Disease Testing, which will affect payment rules and methodologies for related laboratory procedures. This policy change becomes effective April 1, 2026 and may impact how Lyme disease testing claims are processed and reimbursed.
Action Required
By April 1, 2026: Review updated policy CPCPLAB044 for Lyme Disease Testing in Availity Essentials through the Plan Documents Viewer application in Payer Spaces for Blue Cross and Blue Shield of Montana. Billing team must verify current coding and compensation guidelines for Lyme disease testing procedures and update billing practices accordingly to ensure proper reimbursement.