BCBSM coverage decisions on 2015 HCPCS codes available online

The 2015 Current Procedural Terminology codes were released in late August and the 2015 HCPCS codes were released mid-November. You may begin using these new codes on or after Jan. 1.

Blue Cross Blue Shield of Michigan 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 2015. As you know, a 90-day grace period is no longer observed for any procedure code deleted as part of the update.

Our 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 2015 maintained by the American Medical Association. For a comprehensive list of 2015 changes, refer to Appendix B.
• 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.

The 2015 CPT and HCPCS manuals may be purchased from various sources, including:

American Medical Association
                     
To order by mail:
Order Department
American Medical Association
P.O. Box 930876
Atlanta, GA 31193-0876

To order online:
amabookstore.com

To order by phone:
1-800-621-8335

Practice Management Information Corporation

To order by mail:
PMIC
200 W. 22nd St. Ste. 253
Lombard, IL 60148

To order online:
pmiconline

To order by phone:
1-800-633-7467, ext. 2713