Medically Unlikely Edits (MUE) Deviations Policy Update

Blue Cross Blue Shield of North Dakota (BCBSND) wants to inform providers of an update to the Medically Unlikely Edits Deviations reimbursement policy. The update will remove HCPCS Code J1559 effective 10/1/2022.

This Medically Unlikely Edits Deviations reimbursement policy can be reviewed at https://www.bcbsnd.com/providers/policies-precertification/reimbursement-policy/medically-unlikely-edits-deviations. This applies to the Commercial line of business only.

For additional questions regarding this change please email prov.partners@bcbsnd.com.