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CommercialReimbursementMedium impact

Prolonged Services Payment Update

Blue Cross Blue Shield of Wyoming·WY·Reimbursement
Effective date
Feb 1, 2024
We identified it
Jun 19, 2026
Days to comply
—

Summary

Blue Cross Blue Shield of Wyoming will begin reimbursing prolonged services codes effective February 1, 2024, and will stop paying for massage therapy code 97124 when billed with physical medicine procedures starting July 1, 2024. Providers must also validate directory information every 90 days per NSA requirements.

Action Required

Action needed
Immediately: Billing team must update system to begin billing prolonged service codes 99358-99359, 99415-99418, G0316-G0318, G0513-G0514, and G2212 for BCBS Wyoming patients. By July 1, 2024: Stop billing CPT 97124 massage therapy when combined with physical medicine procedures for BCBS Wyoming. Ongoing: Providers must validate NPI and tax ID combinations in Availity Portal every 90 days using Directory Validation tool.

Affected Billing Codes

99358
99359
99415
99416
99417
99418
G0316
G0317
G0318
G0513
G0514
G2212
97124

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