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CommercialBilling CodesMedium impact

Ambulance Rate Increases and CPT Code 83036 Billing Tips

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

Summary

BCBS Wyoming is implementing ambulance rate increases of 2.6-4% effective February 1, 2024, and requires Category II codes to be billed with CPT 83036 (HbA1c tests) or claims will be denied. Authorization submissions must now go through Availity portal only.

Action Required

Action needed
By February 1, 2024: Update billing system to require appropriate Category II codes (3044F, 3051F, 3052F, or 3046F) when billing CPT 83036 for HbA1c tests. Set Category II codes to bill at $0.00 or $0.01 charge. Update ambulance service rates with 2.6% increase for ground transport and 3-4% increases for in-network air transport. Switch all authorization submissions to Availity portal only. Claims for CPT 83036 without Category II codes will be denied and require resubmission.

Affected Billing Codes

83036