June 2021
Procedure Code and Fee Schedule Updates
As part of our commitment to help inform our independently contracted providers of certain developments, Blue Cross and Blue Shield of Illinois (BCBSIL) has designated a specific section in the Blue Review to notify you of any significant changes to the physician fee schedules.
Effective Sept. 1, 2021, the following drugs/therapies will be updated: ABECMA, J9999; BREYANZI, J9999; KYMRIAH, Q2402; LUXTURNA, J3398, J3590; TECARTUS, Q2053; YESCARTA, Q2041; and ZOLGENSMA, J3399.
Effective Sept. 1, 2021, the following Current Procedural Terminology (CPT®) code ranges will be updated: 90630-90756 and Q2034-Q2039. Please note that not all CPT codes in these ranges will be updated.
The information above is not intended to be an exhaustive listing of all changes. For more information on the above change(s), use our Fee Schedule Request Form and specifically request the updates on the codes listed in the Blue Review. Annual and quarterly fee schedule updates may be requested by using the Fee Schedule Request Form. The downloadable form is available on the Forms page on our Provider website. Professional providers participating in our Preferred Provider Option (PPO) and Blue Choice PPOSM networks may use the Fee Schedule Listing tool on the Availity® Provider Portal to submit electronic requests and receive the contracted price allowance for specific codes.
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