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 changes below can be referenced in the updated policies.
- Drug & Biological Wastage
- Annual Policy review was complete of the below policy.
- Verbiage was added regarding wastage should always be minimized whenever possible and is subject to Post-Pay editing.
The following policies below have been updated to clarify the guidelines regarding overlapping specialty and sub-specialty for provider reference.
We added a statement in the same section regarding the necessity of supporting documentation when a modifier is applied to a procedure or service and added a link to the All Codes- Denial Resolution Search Tool under Cross References.
- Correct Coding Policy - Commercial
- Observation Services
- Correct Coding Policy - Medicaid Expansion
- Global Surgical Package
- Coding Guidelines for Emergency Department
- Coding Guidelines for Modifiers 76, 77 & 91 (Repeat and Duplicate Services)
Questions?
Contact Provider Service Centers at:
- Commercial: 800-368-2312
- Medicaid Expansion: 833-777-5779
