Blue Cross Blue Shield of North Dakota (BCBSND) is providing updated guidance on billing and coding for the COVID vaccine and administration based off provider feedback and observation of improper billing and coding for these services.
Effective immediately, claims will reject back to the provider if any of the following occur:
- COVID vaccine is submitted with a charge greater than $0.00
- COVID vaccine is submitted without the SL modifier
- Incorrect COVID administration code is submitted
Claims submitted incorrectly will need to be voided and resubmitted as a new claim.
Refer to the COVID Billing and Coding Guidelines and Modifier SL- State Supplied Vaccinations reimbursement policy for additional guidance.