Key Takeaways BCBS prior auth has no single national process. The Blue Cross Blue Shield Association is a federation of 33 independent companies, and each...
Key Takeaways GLP-1s require prior authorization because the same drug can be covered or excluded depending on the diagnosis it’s prescribed for, not the drug...
Key Takeaways The 2027 maternity coding changes delete 17 CPT codes, including global codes 59400, 59510, 59610 and 59618, effective January 1, 2027. Maternity care...
Key Takeaways SDOH Z codes (Z55-Z65) can only ever be reported as secondary diagnoses, never as the principal or first-listed diagnosis, per official CDC/NCHS ICD-10-CM...
Key Takeaways Billing 90838 with 99215 is CPT-permitted when the E/M and psychotherapy services are separately documented, but payer reimbursement policy determines whether the add-on...
