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January 2013
BCBSM coverage decisions on 2013 HCPCS codes available online
The 2013 Healthcare Common Procedure Coding System codes were released in mid-October. We have begun working to implement these new and revised codes in our claims processing systems. You may begin using these new codes on or after Jan. 1.
BCBSM will publish coverage decisions in PDF format on web-DENIS, in the BCBSM Provider Publications and Resources section, under BCBSM Resources. To request a copy of the PDF, please send an email to ProvComm@bcbsm.com.
We will also identify codes deleted for 2013. As you know, a 90-day grace period is no longer observed for any HCPCS code deleted as part of the update.
BCBSM’s claims processing systems use HCPCS codes to allow health care providers to report services they performed. HCPCS is a two-level coding system. Providers should use the following resources to find the code that best describes the service provided:
- Level I codes are published in the Physicians’ Current Procedural Terminology, CPT 2013 maintained by the American Medical Association. For a comprehensive list of 2013 changes, refer to Appendix B. The CPT 2013 manual may be purchased from the AMA over the phone or by ordering online.
- Level II codes are the Centers for Medicare & Medicaid Services codes and apply to professional services, procedures, items and supplies. For a comprehensive list of CMS Level II code changes, refer to the HCPCS Level II Code Book. A hard-copy file for these codes can be ordered from:
U.S. Government Printing Office
Superintendent of Documents
P.O. Box 371954
Pittsburgh, PA 15250-7954
202-512-1800
*BCBSM does not control this website or endorse its genral content.
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