Contraceptive Counseling Reminder
Summary
Blue Cross Vermont's preventive care benefit covers the screenings, vaccines, medications and counseling it lists at no cost when they align with the USPSTF, ACIP, HRSA and Vermont recommendations, and it lists the CPT, HCPCS and ICD-10-CM codes that qualify. Several revisions are already in effect: obstetric professional care after 09/01/2026 is billed with an E/M code and modifier -TH, branded oral contraceptives can only be dispensed when no commercially available generic equivalent exists, and the adult mammography, breast ultrasound and breast MRI sections added diagnosis codes including N63.15, N63.25 and Z12.31 effective 08/01/2026. Other revisions add pre-diabetes preventive interventions, a weight loss behavioral intervention section, influenza code 90616 to the adult vaccine section, diabetes screening age banding changed from 40 to 35, and pregnancy diagnosis codes with a 12/01/2026 effective date.
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