Material Adverse Change (MAC)


Beginning with dates of service on or after January 1, 2023, Empire BlueCross BlueShield will update the Related Coding section of the policy with the following:


  • Added CPT code 43497 to base code 43235 Esophagogastroduodenoscopy (EGD) with the reduction of 100% primary and 25% subsequent


For specific policy details, visit the reimbursement policy page at


NYBCBS-CM-006902-22 CPN6702

Featured In:
October 2022 Newsletter