CommercialBilling CodesHigh impact
Tips: CPT Code 83036 Billing
Blue Cross Blue Shield of Wyoming·WY · Family Medicine, Internal Medicine, Endocrinology·Prior Authorization
We identified it
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.
Action Required
Immediately: Billing team must update system to require appropriate Category II codes (3044F, 3051F, 3052F, or 3046F) when billing CPT 83036 for HbA1c tests. Set Category II codes to charge $0.00 or $0.01 as required by system. Update encounter forms and staff training to ensure correct Category II code selection based on HbA1c result ranges. Claims without Category II codes will be denied and require resubmission as corrected claims.