Quarterly Code Updates

Blue Cross Blue Shield of North Dakota (BCBSND) has implemented the January quarterly code updates of Current Procedural Terminology (CPT), Current Dental Terminology (CDT), Healthcare Common Procedure Coding System (HCPCS), and Proprietary Laboratory Analyses (PLA) codes issued by the American Medical Association (AMA) and the American Dental Association (ADA). The January quarterly code update will be implemented with an effective date of January 1, 2022. Please refer to the AMA and ADA websites for a complete list of added, revised, and deleted codes.

Modifiers FQ, FR, FS & FT

Centers for Medicare & Medicaid Services (CMS) has released information about four new modifiers that will be effective January 1, 2022. The modifiers and descriptions are as follows:

FQ – Signifies that the billed service was furnished using audio-only communication technology.

FR – Signifies that the supervising practitioner was present through two-way, audio/video communication technology for the billed service.

FS – Signifies that the billed service is a split (or shared) evaluation and management visit.

FT – Signifies that an unrelated evaluation and management (e/m) visit is during a postoperative period, or on the same day as a procedure or another e/m visit. (Report when an e/m visit is furnished within the global period but is unrelated, or when one or more additional e/m visits furnished on the same day are unrelated.)

Places of Service 02 and 10

Effective January 1, 2022, the current Place of Service (POS) 02 description will be revised, and a new POS 10 will be available for providers to use on telehealth visits. The POS 02 description will be changed to reflect that the patient is not located in their home during a telehealth visit, while the POS 10 will reflect that the patient is located in their home (which is a location other than a hospital or other facility where the patient receives care) during a telehealth visit. Claims with POS 10 will not be allowed to be submitted until after January 22, 2022.