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Update: CPT Code 99459

Blue Cross Blue Shield of Kansas·KS · OB-GYN, Family Medicine, Internal Medicine·Coding
Effective date
Oct 1, 2024
We identified it
Jun 19, 2026
Days to comply

Summary

CPT code 99459 for chaperoning pelvic exams will no longer be separately reimbursed and becomes part of the examination service effective October 1, 2024. This add-on code was previously allowed for reimbursement incorrectly.

Action Required

Action needed
By October 1, 2024: Billing team must stop billing CPT code 99459 as a separate add-on code for pelvic exam chaperoning. Update billing system to remove this code from encounter forms and ensure it is not submitted as a separate line item. The chaperoning time is now included in the examination code reimbursement.

Affected Billing Codes

99459