Blue Cross Blue Shield of North Dakota (BCBSND) continually develops and revises coding and reimbursement policies and resources in response to rapidly changing medical technology and updates to the coding sets. Our commitment is to update the provider community as coding and reimbursement policies and guidelines are added, adopted, and/or revised.
The following coding and reimbursement policy will be updated within the next 15 days, impacting both of our Commercial and Medicaid Expansion lines of business.
Coding and Billing Guidelines for Gynecological and Rectal Exams
- Added new pelvic exam CPT code 99459 information to the guidelines.
- This add-on code should be reported when a pelvic examination is performed during a preventive E/M service.
Questions?
Contact the appropriate Provider Service Center.
- Commercial: 1-800-368-2312
- Medicaid Expansion: 1-833-777-5779
