Reimbursement Policies Available Online

Blue Cross Blue Shield of North Dakota (BCBSND) regularly develops and revises coding and reimbursement policies 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.

The following coding and reimbursement policies have been added or revised:

• Lab Services
• Assistant at Surgery
• Co-Surgeon & Surgical Team
• HEDIS
• Breast Biopsies
• Emergency Department
• COVID-19
• Care Management
• Gynecological & Rectal Exams
• Moderate Conscious Sedation
• Modifier 22
• Modifiers 25, 59, XE, XP, XS & XU
• Medical Care & Associated Services
• Consultation Services
• Telehealth Services
• Drug Waste
• Global Maternity
• Global Maternity Quick Reference Guide
• CAR T-Cell Gene Therapy
• Home Health
• Medically Unlikely Edit
• Bilateral Procedures
• Global Surgical Package
• Observation
• Global Surgery & Subsequent Services
• Modifiers 52, 53, 73 & 74
• Modifiers 54, 55 & 56
• Repeat Surgical Procedures
• Venipunctures and Lab Handling