CommercialReimbursementHigh impact
ASC Billing & Reimbursement Updates
Blue Cross Blue Shield of Wyoming·WY · General Surgery, Orthopedics, Ophthalmology +7 more·Reimbursement
Effective date
Jun 1, 2022
We identified it
Jun 19, 2026
Summary
BCBSWY updated ASC billing rules effective 6/1/2022, changing how multiple surgical procedures are reimbursed based on status indicators. Status B and N codes are no longer separately reimbursable, while S, T, Q1, and Q2 codes are subject to multiple surgical reductions, and J1 codes receive comprehensive payment with only the highest allowable amount paid.
Action Required
Immediately: Billing team must update ASC billing procedures for BCBSWY claims to reflect new status indicator rules. Verify status B and N codes are not billed separately, ensure S, T, Q1, Q2 codes apply multiple surgical reductions, and configure system so J1 codes receive comprehensive payment with only highest allowable reimbursed. Access updated ASC rates in Availity portal under BCBSWY Payer Space and update fee schedules accordingly.