BCBS Update-Audiologists/Podiatrists

Aug 16, 2013  Audiologist and Podiatrist Codes Updated

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.

Specialty Type Code(s)
Audiologist* 99201 99202 99211 99212
Podiatrist L2820

   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.

Cigna Radiology Services Claim Submission

Beginning with dates of service 08/01/2014, claims for in-office radiology services should be sent directly to Cigna, using the address on the back of your patient’s Cigna ID Card, or electronically using payer ID 62308.  Historically these claims have been sent to MedSolutions.

If you have any questions about these changes, you can contact Cgina Customer Services at (800) 882-4462