Coding Related Updates

BCBSIL adheres to the nationally recognized coding guidelines as defined by the Current Procedural Terminology (CPT®) Codebook. Accurate coding enables BCBSIL to determine the benefit level that is warranted in accordance with the member's benefit certificate.

This section is to be used as a supplementary guide when coding for services rendered. We routinely review the documentation in this section for relevancy and accuracy. Updates are made annually for Health Care Service Corporation (HCSC) Adverse Denial Rates. Other sections are updated as needed throughout the year.

Coding Related Updates

Other available references:

The "Fairness in Contracting" column in the monthly Blue Review provider newsletter is designed to notify you of any changes to the physician fee schedules. This newsletter is available by mail, email or online. View current or past issues of the Blue Review.  

For additional information and one set of guidelines regarding health care benefit coverage determinations, refer to the BCBSIL Medical Policies.

CPT copyright 2017 American Medical Association (AMA). All rights reserved. CPT is a registered trademark of the AMA.