Who is affected by this change?

This affects Blue Cross Blue Shield of Wyoming Family Medicine, Internal Medicine, Endocrinology providers in WY on Commercial plans.

When does this change take effect?

This change is effective Jan 1, 2024.

Which billing codes are affected?

The following codes are affected: 83036.

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CommercialBilling CodesMedium impact

CPT Code 83036 Billing Tips

Blue Cross Blue Shield of Wyoming·WY · Family Medicine, Internal Medicine, Endocrinology·Coding

Effective date

Jan 1, 2024

We identified it

Jun 19, 2026

Days to comply

—

Summary

BCBSWY now requires Category II codes to be included with CPT 83036 (HbA1c lab test) claims starting January 1, 2024. Specific Category II codes must be used based on HbA1c results and billed at $0.00 or $0.01 charge.

Action Required

Action needed

By January 1, 2024: Billing team must update system to require appropriate Category II codes (3044F, 3051F, 3052F, or 3046F) on all CPT 83036 HbA1c claims. Configure codes to bill at $0.00 or $0.01 charge as required by clearing house. Train staff on selecting correct Category II code based on HbA1c percentage results.

Affected Billing Codes

83036

Related policy hubs

Blue Cross Blue Shield of Wyoming policies WY policy changes Family Medicine Internal Medicine Endocrinology Code 83036