CommercialBilling CodesHigh impact
Intraocular Lenses Billing Code Change, Therapy Modifiers, Availity and More
Blue Cross Blue Shield of Wyoming·WY · Ophthalmology, Physical Therapy, Occupational Therapy·Prior Authorization
Effective date
Sep 1, 2023
We identified it
Jun 19, 2026
Summary
BCBSWY has implemented multiple billing changes: therapy modifiers CO and CQ are no longer permitted as of 9/1/2023, ASCs must use L8699 instead of V2630-V2632 for intraocular lenses and submit invoices with implant claims, and Availity Appeals should only be used for benefit denials, clinical denials, and price increases.
Action Required
Immediately: Stop using therapy modifiers CO and CQ in all billing. ASCs must update billing systems to use code L8699 instead of V2630-V2632 for intraocular lens billing and ensure invoices are submitted with all implant claims. Billing teams must restrict Availity Appeals usage to only benefit denials, clinical denials, and price increases - route all other items through mail, fax, or Availity documentation upload to avoid processing delays.