This article is for acute care hospitals where our members receive outpatient surgery
Blue Cross reimburses for outpatient surgical services as outlined in our existing outpatient surgical services facility payment policy.
As a reminder, we reimburse outpatient surgical services at a case rate, which reflects the fee for each allowable surgery, including laboratory services related to the surgery.
The existing outpatient surgical services facility payment policy states that Blue Cross:
See payment policy for additional billing guidelines.
Call Provider Service at 1-800-882-2060. As always, thank you for the care you provide to your patients—our members.
Outpatient surgical services facility payment policy (log in and go to Office Resources>Policies & Guidelines>Payment Policies)