Reimbursement Policy Updates
AI Summary
Blue Cross Blue Shield Texas updated six reimbursement policies covering preventive services, telemedicine, surgical procedures, and global surgical packages. These policies describe payment rules and coding methodologies for CPT codes and claims processing, with effective dates ranging from March 27 to April 10, 2026.
Action Required
Before March 27, 2026: Billing team must review and implement updated reimbursement policies RP006 (Preventive Services), RP033 (Telemedicine/Telehealth), RP009 (Co-Surgeon/Team Surgeon), RP013 (Increased Procedural Services with Modifier 22), RP014 (Global Surgical Package), and RP015 (Multiple Surgical Procedures). Access full policy details at bcbstx.com to understand specific payment rules and coding changes that may affect claim processing and reimbursement rates.
Plan Types
All Plans
States
TX
Specialties
all-specialties