CommercialBilling CodesHigh impact
Medical Policy Update
Blue Cross Blue Shield of Wyoming·WY · Oncology, Internal Medicine, Gastroenterology +3 more·Prior Authorization
Effective date
Sep 1, 2024
We identified it
Jun 19, 2026
Summary
BCBSWY implemented a new medical policy for Home Infusion services effective 9/1/2024. The policy establishes specific billing requirements using HCPCS G-codes and S-codes for different types of home infusion therapy, requires in-person service delivery for reimbursement, and mandates written physician orders with detailed documentation.
Action Required
By September 1, 2024: Billing team must update system to use HCPCS G-codes (G0068-G0070, G0088-G0090) for home infusion therapy billing based on drug type and visit status. Update encounter forms to capture written physician orders and detailed service documentation including total time. Configure billing software to require at least one non-oral drug code alongside each G-code. For nutrition infusions, use S-codes with per diem methodology. Ensure claims specify in-person service delivery as remote-only services will not be reimbursed. Appeals without proper documentation will be rejected.