COVID-19 Fee Schedule/Reimbursement Update

Dec. 23, 2020

Effective April 1, 2021, unless otherwise specified in the provider’s agreement, Blue Cross and Blue Shield of Texas (BCBSTX) will align the codes below with the Centers for Medicare and Medicaid Services (CMS) and local Medicare Intermediary reimbursement levels for the Blue Choice PPOSM (including Blue HPNSM), Blue EssentialsSM (including HealthSelectSM of Texas Network), MyBlue HealthSM Blue PremierSM, Blue Advantage HMOSM and PAR Plan networks.

Code

Description

87426

IAAD IA SEVERE AQTRESPIRSYND CORONAVIRUS

0224U

ANTB SEV AQT RESPIR SYND CORONAVIRUS 2 TITER(S)

0226U

SUROGAT VIR NEUTRLZJ TST SARSCOV2 ELISA PLSM SRM

General Reimbursement and Fee Schedule Information

The updated fee schedules will be posted on the General Reimbursement Information page under “Reimbursement Schedules and Related Information (Secure Content)”. To access this area, please obtain the password from your Network Management Office. Then refer to “Hospital/Ambul. Surg Ctr./Endoscopy Ctr. ” section and select “Hospital Schedules”.

Have Questions?

If you have any questions, please contact your Network Management Office.