Accurate billing and coding reminders

To ensure accurate coding and billing, Blue Cross Blue Shield of Michigan would like to offer these reminders about laser treatments for psoriasis and anesthesia medication modifiers.

Laser treatment for psoriasis

The following procedure codes should only be reported for the treatment of psoriasis:

• *96920  ̶  Laser treatment for inflammatory skin disease (psoriasis); total area less than 250 sq cm
• *96921  ̶  Laser treatment for inflammatory skin disease (psoriasis); 250 sq cm to 500 sq cm
• *96922  ̶  Laser treatment for inflammatory skin disease (psoriasis); over 500 sq cm

Claims submitted with a diagnosis other than the treatment of psoriasis may receive a denial.

Medical direction modifiers for anesthesia

Blue Cross’ payment policy also requires accurate reporting of anesthesia medical direction modifiers. Please make sure the appropriate medical direction modifier is added to the anesthesia procedure code to indicate the level of service the physician or the non-physician practitioner provides.

Conflicts in the reporting of anesthesia medical direction modifiers may result in a claim denial.

None of the information included in this article is intended to be legal advice and, as such, it remains the provider’s responsibility to ensure that all coding and documentation are done in accordance with all applicable state and federal laws and regulations.