Who is affected by this change?

This affects Blue Cross of Idaho Psychiatry, Family Medicine, Internal Medicine, General Practice providers in ID on Commercial plans.

Which billing codes are affected?

The following codes are affected: F32.0, F32.1, F32.2, F32.3, F32.4, F32.5, F32.9, F33.0, F33.1, F33.2, F33.3, F33.41, F33.42, F33.9.

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CommercialDocumentationMedium impact

One to One for Healthcare - Winter 2021 Editions

Blue Cross of Idaho·ID · Psychiatry, Family Medicine, Internal Medicine +1 more·Medical Policy

Effective date

Not stated

We identified it

Jun 19, 2026

Days to comply

—

Summary

Blue Cross of Idaho's Winter 2021 newsletter provides detailed guidance on Major Depressive Disorder coding and documentation requirements, including specific ICD-10 codes for single and recurrent episodes. The newsletter also covers provider portal training, formulary updates, and upcoming chart review requirements for Qualified Health Plans.

Action Required

Action needed

Review and update depression coding practices to ensure proper use of specific ICD-10 codes based on episode type (single vs recurrent) and severity. Document episode status, severity, and remission status in medical records rather than using 'history of' diagnosis codes. Prepare for upcoming chart reviews by ensuring complete medical records are available for 2019 and 2020 QHP patients when requested by Tactical Management.

Affected Billing Codes

F32.0

F32.1

F32.2

F32.3

F32.4

F32.5

F32.9

F33.0

F33.1

F33.2

F33.3

F33.41

F33.42

F33.9

One to One for Healthcare - Winter 2021 Editions

Summary

Action Required

Affected Billing Codes

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