New Process for Submitting HbA1c Values Between Seven and Eight Percent

In order to close gaps in care for patients with Hemoglobin A1c (HbA1c) values between seven and eight percent, a new process has been implemented. It is required that the HbA1c value be submitted on the claim; however, there is not currently a code available to close a gap for these values. We are now accepting additional information from providers to assist in the closing of this gap in care. The corresponding CPT Category II code should still be submitted on the patient’s claim. To submit a lab value, electronically complete the “Diabetes HbA1c Between Seven and Eight Percent” SmartForm located on BCBSAL provider website, AlabamaBlue.com/providers. Log in and search “Diabetes HbA1c Between Seven and Eight.” Forms and all supporting documentation must be faxed back to the number listed on the form.

Source: https://providers.bcbsal.org/portal/web/pa/resources/-/resource/viewArticle/DNMSL8ABZ0?_dynamicrenderingportlet_WAR_webcontentportlet_fetchArticles=https%3A//providers.bcbsal.org/portal/web/pa/resources%3Fp_auth%3Dl6ffqPfr%26p_p_id%3Ddynamicrenderingportlet_WAR_webcontentportlet%26p_p_lifecycle%3D1%26p_p_state%3Dnormal%26p_p_mode%3Dview%26p_p_col_id%3Dcolumn-3%26p_p_col_count%3D1%26_dynamicrenderingportlet_WAR_webcontentportlet_keywords%3DDiabetes%2BHbA1c%2BBetween%2BSeven%2Band%2BEight%2BPercent%25E2%2580%259D%2BSmartForm%2B%26_dynamicrenderingportlet_WAR_webcontentportlet_action%3DdoGetSearchResults%26_dynamicrenderingportlet_WAR_webcontentportlet_pageNumber%3D1&_dynamicrenderingportlet_WAR_webcontentportlet_groupId=10226&_dynamicrenderingportlet_WAR_webcontentportlet_fromSearchResults=true