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February 2015

Monthly care management code not payable for Blue Cross commercial members

The new monthly care management code for non-face-to-face encounters, *99490, will not be payable for Blue Cross Blue Shield of Michigan commercial members in 2015.

However, *99490 will be payable for all BCBSM Medicare Advantage members. Care management services are subject to deductibles and coinsurance, according to plan guidelines.

Blue Cross will continue to assess various options for supporting provider delivery of care management services for commercial members. We will be gathering input about this topic from the provider community throughout 2015.

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 2014 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.