Back to dashboard
CommercialAdministrativeMedium impact

PAP214 - Accidental Injury Questionnaire - Removed list of dx codes and referred to the ICD-10 coding book.

Blue Cross of Idaho·ID · Emergency Medicine, Orthopedics, General Surgery +2 more·Coding
Effective date
Not stated
We identified it
Jun 19, 2026
Days to comply

Summary

Blue Cross of Idaho updated their Accidental Injury Questionnaire policy (PAP214) by removing the specific list of diagnosis codes and now refers providers to ICD-10 coding book Chapter 19 for accident-related diagnosis codes. This change affects how providers identify which cases require accidental injury questionnaires for FEP and Power Engineers members.

Action Required

Action needed
Immediately: Billing team must reference ICD-10 coding book Chapter 19 (Injury, Poisoning, and Certain Other Consequences of External Causes) to identify accident diagnosis codes that trigger Accidental Injury Questionnaires for FEP and Power Engineers members. Update internal documentation to remove reliance on the previous specific diagnosis code list and train staff to use Chapter 19 as the reference guide.