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Procedure Code and Fee Schedule Updates
Act
by Dec 31, 2026
Effective date
Jan 1, 2027
Identified
Sep 16, 2026
Summary
Effective January 1, 2027, Blue Cross Blue Shield Illinois will implement CPT and HCPCS procedure code additions, deletions, and revisions. Deleted codes will no longer be accepted for payment on or after this date. Billing teams must obtain updated fee schedules and verify all codes before the effective date to prevent claim denials.
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What to do
by Dec 31, 2026 · 6 steps
01Billing team must obtain the complete updated fee schedule from BCBSIL using the Fee Schedule Request Form (available on their forms page) and specifically request the CPT and HCPCS code updates listed in Blue Review.
02Update all billing software, superbills, and encounter forms to reflect added, deleted, and revised codes.
03Professional providers using Availity Essentials should use the Fee Schedule Listing tool to verify contracted allowances for all procedures.
04Remove all deleted codes from billing systems to prevent claim rejections.
05Verify that providers understand which codes are deleted—submitting deleted codes for dates of service on or after January 1, 2027 will result in claim denials.
06Contact BCBSIL provider relations if your practice needs clarification on specific code changes.
Original notice
Procedure Code and Fee Schedule Updates
bcbsil.com · Always check the source before changing claims.