Horizon Blue Cross Blue Shield of New Jersey recently updated our claim processing system to ensure that benefits are being applied appropriately for certain services when performed by an audiologist or podiatrist.
The table below lists the CPT® and HCPCS codes that were updated in June 2013 to include the indicated specialty as “eligible” to provide that service.
|Audiologist*||99201 99202 99211 99212|
If your office received claim denials for any date of service for the above-listed codes, you may request a claim adjustment.
- Call a Physician Services Representative at 1-800-624-1110, Monday through Friday, between 8 a.m. and 5 p.m., Eastern Time.
- Submit a copy of our Inquiry Request and Adjustment Form (579). This form is available within the Forms page of HorizonBlue.com.
If you have questions, please contact your Network Specialist.
* Please note that codes 99203-99205 and 99213-99215 are not eligible for reimbursement when performed by an audiologist.
CPT® is a registered trademark of the American Medical Association.