CommercialBilling CodesMedium impact
Notification of Rejections for CPT Code 90480
Blue Cross Blue Shield of North Dakota·ND · Family Medicine, Internal Medicine, Pediatrics +1 more·Coding
Effective date
Oct 17, 2025
We identified it
Jun 19, 2026
Summary
Blue Cross Blue Shield of North Dakota updated their system to allow modifiers 59, XE, XP, XS, or XU to bypass rejections for CPT 90480 (COVID-19 vaccine administration) when billed with other vaccines on the same date. They will also automatically adjust previously rejected claims for 90480 when billed with G-codes G0008, G0009, or G0010.
Action Required
Immediately: Billing team should resubmit previously rejected claims for CPT 90480 by adding appropriate modifiers (59, XE, XP, XS, or XU) when COVID vaccine was administered with other vaccines on same date. Update billing system to automatically append these modifiers for future 90480 claims when billed with other vaccine codes. No action needed for 90480 claims with G0008, G0009, or G0010 - BCBSND will automatically adjust these.