We have updated our General Coding and Billing Payment Policy with information about National Physician Fee Schedule File professional component (PC) and technical component (TC) indicator 3 codes.
We want to remind you that Blue Cross does not reimburse any CPT or HCPCS codes identified as having a professional or technical indicator of 3 (PC/TC 3) in a facility setting. We have aligned our operations to support this policy.
PC/TC 3 codes represent the technical component of a service. That service has a different CPT or HCPCS code representing the professional component of the service. These technical codes have no associated physician work relative value units (RVUs) and therefore will not be reimbursed.
This policy applies to all products.
What codes apply?
|
G0128 G0248 G0249 G0277 G0288 G0404 G0472 G2066 G6003 G6004 G6005 G6006 G6007 G6008 G6009 G6010 G6011 G6012 G6013 G6014 G6015 |
G6016 Q0092 R0070 R0075 0208T 0209T 0210T 0211T 0212T 0497T 0502T 0503T 0541T 0624T 0625T 20697 36591 36592 36593 51798 77336 |
77370 77371 77372 77373 77385 77386 77401 77402 77407 77412 77417 77423 77520 77522 77523 77525 77790 86485 86486 86490 86510 |
86580 88184 88185 89220 89230 92227 92229 92547 92552 92553 92555 92556 92561 92562 92563 92564 92565 92571 92572 92575 92576 |
92577 92582 92583 92596 93005 93017 93041 93225 93226 93229 93242 93243 93246 93247 93270 93271 93296 93668 93701 93702 93786 |
93788 93792 94015 94760 94761 94762 94775 94776 95028 95060 95065 95070 95249 95250 96127 96932 96935 99153 99415 99416 |
Resources
To access our payment policies, login and go to Office Resources>Policies & Guidelines>Payment Policies
- General coding and billing payment policy
- Non-reimbursable services payment policy
Questions?
If you have any questions, please call Provider Services at the appropriate number:
- Physicians: 1-800-882-2060
- Hospitals: 1-800-451-8123
- Ancillary providers: 1-800-451-8124
As always, thank you for the care you provide to our members.
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