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November 2023

Update: Starting Jan. 1, 2024, all DME codes will be removed from the CareCentrix HIT and AIS program

This is an update to previous newsletter articles on this topic that ran in The Record and BCN Provider News. The articles contained three incorrect HCPCS codes. Use the following article as your reference going forward.

For dates of service on or after Jan. 1, 2024, the durable medical equipment codes listed in the table below will be removed from the CareCentrix network management program for home infusion therapy and ambulatory infusion suite providers.

HCPCS codes

B4034

B4035

B4036

B4081

B4082

B4083

B4087

B4102

B4103

B4104

B4105

B4149

B4150

B4152

B4153

B4154

B4155

B4157

B4158

B4159

B4160

B4161

B4162

B4185

B4187

B9002

B9998

 

 

 

This change applies to:

  • Blue Cross Blue Shield of Michigan and Blue Care Network commercial members
  • Independent home infusion therapy and ambulatory infusion suite providers
    Note: Ambulatory infusion suite providers are a subset of ambulatory infusion centers.

These codes are still part of the DME benefit. Providers who participate in Blue Cross’ or BCN’s DME network can bill them in accordance with existing Blue Cross or BCN billing guidelines.

Prior to Jan. 1, 2024, we’ll update the Home infusion therapy and ambulatory infusion suite provider network management: Frequently asked questions document to reflect this change.

CareCentrix is an independent company that manages the in-state, independent home infusion services and ambulatory infusion center provider network for Blue Cross Blue Shield of Michigan and Blue Care Network members who have commercial plans.

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 2022 American Medical Association. All rights reserved.