CommercialReimbursementHigh impact
Bright Futures Coding Guidance
Blue Cross Blue Shield of Wyoming·WY · Pediatrics, Family Medicine·Reimbursement
We identified it
Jun 19, 2026
Summary
BCBS Wyoming updated coding guidance for Bright Futures pediatric screenings. Code 96110 for developmental and autism screening is now only paid until age 2, and code 96127 for behavioral assessment is bundled into the wellness visit base rate rather than separately reimbursed.
Action Required
Immediately: Billing team must update system to restrict CPT 96110 (developmental/autism screening) billing to patients under age 2 only. Stop billing CPT 96127 separately as it is now included in wellness visit base rates. Update encounter forms and EMR templates to reflect these changes. Claims for 96110 over age 2 and separate 96127 billing will be denied.