The Record - for physicians and other health care providers to share with their office staffs Forward to a friend  |  Subscribe  |  The Record Archive  |  Contacts  |  bcbsm.com  |  Print this article
September 2014

Note added to Max Fee for a Code feature on web-DENIS

Beginning in September 2014, the web-DENIS display for the Max Fee for a Code feature will include a note about national drug code pricing.

This change explains that Healthcare Common Procedure Coding System and Current Procedural Terminology codes subject to NDC pricing will display a value that represents the minimum fee. The change was made to align the code look-up feature with the information posted in fee schedules.

Starting Sept. 1, 2014, our display will show the following:
                                       
Max Fee for a Code – Allows access to Max Fees for a procedure code.
NOTE: For codes eligible for NDC pricing (see Injection Fee Schedule and DME/P&O Fee Schedule), the statewide Price Values returned represent the Minimum Fee.

For more information, refer to The Record articles in the following issues:

Here’s a screen shot of the current display:

paragraph

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2013 American Medical Association. All rights reserved.
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and
independent licensees of the Blue Cross and Blue Shield Association.