Facility Only Surgical Code Changes Effective 12/15/18

Nov. 23, 2018

A clinical evaluation was completed for surgical services performed by medical providers. Effective 12/15/2018, codes that have been established as facility only surgical codes, which are billed within an office environment, will be zero-priced at the line level within the claim. Providers will have the opportunity to correct the place of service from an office visit to facility or ambulatory surgical center and resubmit the claim.

The fee schedule will be updated in the BCBSMT Secure Provider Portal. https://providerportal.bcbsmt.com/Account/Login.aspx