Coding and Reimbursement Policy Updates

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 are adopted and/or revised. These updates apply to both BCBSND Commercial and Medicaid Expansion plans.

The following reimbursement policy will be updated within the next 30 days and will have information added and/or revised effective September 25, 2023:  

Included information about the billing and reimbursement of observation services of outpatient claims will be reimbursed on a percentage of charge unless otherwise noted in the provider’s participation agreement with BCBSND.