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Tips: CPT Code 83036 Billing
Act
immediately
Effective date
Not stated in the notice
Identified
Jun 19, 2026
Summary
BCBS Wyoming now requires Category II codes (3044F, 3051F, 3052F, or 3046F) to be billed alongside CPT 83036 (HbA1c lab tests) based on the test result percentage ranges. Claims without the appropriate Category II code will be denied and require resubmission.
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What to do
immediately · 4 steps
01Billing team must update system to require appropriate Category II codes (3044F, 3051F, 3052F, or 3046F) when billing CPT 83036 for HbA1c tests.
02Set Category II codes to charge $0.00 or $0.01 as required by system.
03Update encounter forms and staff training to ensure correct Category II code selection based on HbA1c result ranges.
04Claims without Category II codes will be denied and require resubmission as corrected claims.
Codes mentioned
83036
Original notice
Tips: CPT Code 83036 Billing
bcbswy.com · Always check the source before changing claims.
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