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June 2025

Fees for new telemedicine E/M procedure codes to start July 1

Blue Cross Blue Shield of Michigan and Blue Care Network will change practitioner fees for certain services provided on or after July 1, 2025. These changes may affect all health care providers — including behavioral health providers — for evaluation and management services provided through synchronous audio-video visits.

Commercial members

For Blue Cross and BCN commercial members, the Blue Cross and BCN fee schedules are the primary source of information about fees. To find the fee schedules:

  1. Log in to our provider portal at availity.com.**
  2. Click on Payer Spaces on the menu bar, and then click on the BCBSM and BCN logo.
  3. Scroll down, and then click on Secure Provider Resources (Blue Cross and BCN).
  4. Click on the Fee Schedule drop-down menu, and then click on one of the following:
    • Blue Cross Professional Fee Schedules
    • BCN Fee Schedules

Note: We published the article “Blue Cross’ updates to practitioner fees will take effect July 1” on March 31, 2025, in the April 2025 issue of The Record.

Medicare Advantage members

For Medicare Plus Blue℠ and BCN Advantage℠ members, follow the guidance from the Centers for Medicare & Medicaid Services when billing for telemedicine E/M services.

**Blue Cross Blue Shield of Michigan and Blue Care Network don’t own or control this website.

Availity® is an independent company that contracts with Blue Cross Blue Shield of Michigan and Blue Care Network to offer provider portal and electronic data interchange services.

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 2024 American Medical Association. All rights reserved.