ClaimsXtenTM Third Quarter 2013 Updates

July 15, 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 without changing the software version. BCBSIL will now 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 to our BCBSIL News and Updates. 

Beginning on or after Oct. 14, 2013, BCBSIL will enhance the ClaimsXten code auditing tool by adding the third quarter codes and bundling logic into our claim processing system.  

Oxygen contents codes will be considered as inclusive to the oxygen equipment purchase and/or rental codes. Additionally, based on Centers for Medicare & Medicaid (CMS) guidelines, procedure code A9279 (Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified) will bundle to E0470 (Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)) or E0601 (Continuous airway pressure (CPAP) device).  

Please continue to watch this website for News and Updates on the ClaimsXten implementation and other BCBSIL programs and initiatives. 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 it products and services. 

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