CommercialBilling CodesMedium impact
Anesthesia Reimbursement Changes
Blue Cross Blue Shield of Wyoming·WY · Anesthesiology, Ophthalmology·Coding
Effective date
Jan 1, 2024
We identified it
Jun 19, 2026
Summary
BCBS Wyoming now reimburses additional anesthesia units for high-risk patients (P3-P5 modifiers) starting 11/1/2023, and requires CPT 67516 for all suprachoroidal space injections (Xipere) starting 1/1/2024. This adds new reimbursement opportunities for anesthesia and mandates specific coding for eye injections.
Action Required
Immediately: Update billing system to use CPT 67516 exclusively for all suprachoroidal space injections (Xipere) for BCBS Wyoming patients. Train billing team to add appropriate units for P3-P5 anesthesia cases (P3=1 unit, P4=2 units, P5=3 units) and ensure qualifying circumstance codes 99100, 99116, and 99135 are being utilized for maximum reimbursement.