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CommercialReimbursementMedium impact

Anesthesia Reimbursement, Nerve Conduction & More

Blue Cross Blue Shield of Wyoming·WY · Anesthesiology, Neurology, PM&R (Physical Medicine & Rehab)·Reimbursement
Effective date
Apr 1, 2023
We identified it
Jun 19, 2026
Days to comply

Summary

BCBS Wyoming has updated anesthesia reimbursement rates effective 4/1/2023, increasing units allowed for CPT 01967 from 4 to 8 additional units above base and increasing emergency anesthesia allowances. They've also updated their EMG and Nerve Conduction Studies medical policy regarding provider eligibility.

Action Required

Action needed
Immediately: Billing team should review and update anesthesia billing for CPT 01967 to reflect increased allowable units (8 additional units above base instead of 4) for BCBS Wyoming claims. Review updated EMG and Nerve Conduction Studies policy 02.01.095 at BCBSWY.com/Providers to verify provider eligibility requirements. Prepare to respond to any DRG audit requests from Cotiviti on behalf of BCBS Wyoming.

Affected Billing Codes

01967