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May 2022

We’re providing purchasing and billing information for Spravato

We’ve developed a document with information about Spravato® that we think you’ll find useful. See the document titled Spravato: Purchasing and billing information to learn about:

  • Two options for purchasing Spravato — Buy and bill and assignment of benefit
    Note: The buy-and-bill option is available for both commercial and Medicare Advantage members, The assignment of benefit option can be used only for commercial members.
  • How to bill for Spravato — Which codes to use for our commercial members and which to use for our Medicare Advantage members

The document points out the differences you should be aware of when purchasing and billing Spravato for members with Blue Cross Blue Shield of Michigan commercial, Blue Care Network commercial, Medicare Plus Blue℠ and BCN Advantage℠ plans.

You can access this document on these pages on our ereferrals.bcbsm.com website:

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 2021 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.