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September 2015

Documentation guidelines updated for medical records and diagnostic and therapeutic services

Effective Aug. 1, 2015, Blue Cross Blue Shield of Michigan has updated the following sections of our documentation guidelines:

  • Medical record documentation — general guidelines
  • Diagnosis and therapeutic services

For detailed information, see the “Documentation Guidelines for Physicians and Other Professional Providers” chapter of your online provider manual. Follow these steps to view the provider manual:

  1. From web-DENIS, click on BCBSM Provider Publications and Resources.
  2. Click on Provider Manual.
  3. Click on Provider Type and select yours from the Make a Selection box.
  4. Click on the Search button and then on the Documentation Guidelines for Physicians and Other Professional Providers chapter.
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.