CommercialReimbursementLow impact
Enhanced Ambulatory Patient Grouping (EAPG) Carveout Fee Schedule
Blue Cross Blue Shield of North Dakota·ND · Oncology, Hematology·Provider News
We identified it
Jun 19, 2026
Summary
BCBS North Dakota clarified their Enhanced Ambulatory Patient Grouping (EAPG) fee schedule for CAR T-Cell immunotherapy services. EAPG 119 procedures are bundled and non-payable, while EAPG 120 procedures are considered by report.
Action Required
No immediate action required: This is a clarification of existing policy that does not impact claims processing. Billing teams should be aware that CAR T-Cell preparation services (EAPG 119) are bundled/non-payable and CAR T-Cell immunotherapy (EAPG 120) requires individual review. Access updated fee schedules at https://feeschedule.bcbsnd.com/FeeSchedule/ if needed.