Billing Beat

BCBS Michigan Highlights Medical, Benefit Policy Changes

February 12, 2024

NGS to assess measurable residual disease

Additional payable diagnoses have been added, effective Nov. 1, 2023.

Payment policy: 0364U, 81479**

Payable diagnoses: C90.00, C90.01, C90.02, C91.00, C91.01, C91.02, C91.10, C91.11, C91.12, C91.30, C91.31, C91.32, C91.A0, C91.A1, C91.A2

Gene expression profiling for cutaneous melanoma

This policy was updated to cover procedure code *0089U when criteria are met, effective Sept. 1, 2023.

Source: https://www.bcbsm.com/content/dam/microsites/corpcomm/provider/the_record/2024/feb/Record_0224e.html

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