New Reimbursement policy: Bundled Supplies and Services - Facility

Beginning with dates of service on or after August 1, 2023, Empire BlueCross BlueShield will implement a new facility reimbursement policy titled Bundled Supplies and Services – Facility. This policy identifies certain services and/or supplies ineligible for separate reimbursement when reported by a facility. These identified services and/or supplies are an integral component to the overall procedure.

The Related Coding section of the policy lists and describes the Current Procedural Terminology (CPT^®) and Healthcare Common Procedural Coding System (HCPCS Level II) codes that are considered always bundled and not eligible for reimbursement when they are reported as a stand-alone service, or with another service. No modifiers will override the denial for the always bundled services and/or supplies.

For specific policy details, visit the reimbursement policy page at empireblue.com.