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PAP420 - Dialysis Billing - Added new Revenue and HCPCS code.
Effective date
Not stated in the notice
Identified
Oct 26, 2026
Summary
Blue Cross of Idaho has revised PAP420 to add new Revenue and HCPCS codes for dialysis billing, effective October 2026. The policy clarifies accepted CPT/Revenue code combinations for dialysis modalities on UB-04 claims and requires compliance with current Medicare claims submission guidelines. Billing teams must verify the specific new codes added and update billing systems accordingly.
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What to do
Action · 4 steps
01Billing team should contact Blue Cross of Idaho or review the complete policy update to identify the specific new Revenue and HCPCS codes added in October 2026, as the source document does not explicitly list which codes are new.
02Once identified, update billing software and claim submission processes to recognize and properly bill these new code combinations on UB-04 dialysis claims.
03Verify that all dialysis modality claims (in-center hemodialysis, peritoneal dialysis, hemodiafiltration, ultrafiltration, and training) use only the approved CPT/Revenue code combinations listed in the policy to avoid claim denials.
04Ensure compliance with current CMS claims submission guidelines as referenced in the policy.
Codes mentioned
90999G049190993
Original notice
PAP420 - Dialysis Billing - Added new Revenue and HCPCS code.
providers.bcidaho.com · Always check the source before changing claims.