Dec. 17, 2021
Blue Cross and Blue Shield of TX has updated the following new Clinical Payment and Coding Policy (CPCP) effective March 20, 2022 and posted it to the provider website:
CPCPC003 Emergency Department Evaluation and Management (E/M) Services Coding – Facility Services
Be sure to check eligibility and benefits before rendering service(s) to make sure a procedure is a covered benefit for the member and determine any prior authorization requirements. Refer to Clinical Payment and Coding Policies under Standards and Requirements on the provider website to review the current CPCPs.
Clinical payment and coding policies are based on using healthcare professionals and industry standard guidelines. The clinical payment and coding guidelines are not intended to provide billing or coding advice but to serve as a reference for facilities and providers.