CommercialBilling CodesHigh impact
CPT Code 83036 Billing Tips - Holiday Closures
Blue Cross Blue Shield of Wyoming·WY · Family Medicine, Internal Medicine, Endocrinology·Coding
Effective date
Jan 1, 2024
We identified it
Jun 19, 2026
Summary
Starting in 2024, BCBS Wyoming requires Category II codes to be billed alongside CPT 83036 (HbA1c laboratory test) or claims will be denied. The Category II codes (3044F, 3051F, 3052F, 3046F) indicate the HbA1c result level and should be billed at $0.00 or $0.01.
Action Required
Immediately: Billing team must update system to require Category II codes when billing CPT 83036 (HbA1c). Use 3044F for HbA1c <7.0%, 3051F for 7.0-7.9%, 3052F for 8.0-8.9%, and 3046F for >9.0%. Bill Category II codes at $0.00 or $0.01 charge on same claim. Update encounter forms and notify providers. Claims without Category II codes will be denied and require resubmission as corrected claims.