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ClaimsXtenTM First Quarter 2014 Updates

November 8, 2013

Blue Cross and Blue Shield of Illinois (BCBSIL) reviews new and revised Current Procedural Terminology (CPT®) and HCPCS codes on a quarterly basis. Codes are periodically added to or deleted from the ClaimsXten software by McKesson and are not considered changes to the software version. BCBSIL will normally load this additional data to the BCBSIL claim processing system within 60 to 90 days after receipt from McKesson and will confirm the effective date on the BCBSIL website. Advance notification of updates to the ClaimsXten software version (i.e. change from ClaimsXten v.4.1 to v4.4) will continue to be posted on the BCBSIL Provider website.

Beginning on or after Feb. 10, 2014, BCBSIL will enhance the ClaimsXten code auditing tool by adding the fourth quarter 2013 and first quarter 2014 codes and bundling logic into our claim processing system.  

Additionally, on or after Feb. 10, 2014, the following additional edits will be added, based on CPT and HCPCS code descriptions: procedure code S2900 (Surgical techniques requiring use of robotic surgical system) will bundle to 55866 (Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed).    

Additional information also may be included in upcoming issues of the Blue Review.  

ClaimsXten is a trademark of McKesson Information Solutions, Inc., an independent third party vendor that is solely responsible for its products and services. 

CPT copyright 2012 American Medical Association (AMA). All rights reserved. CPT is a registered trademark of the AMA.