(Policy 06-010, effective 05/01/2020)

 

Effective May 1, 2020, the following updates have been made to the policy:

  • Empire BlueCross BlueShield (Empire) allows reimbursement to professional providers and facilities for multiple and bilateral surgery. Reimbursement is based on multiple and bilateral procedure rules in accordance with contracts and/or state guidelines for applicable surgical procedures performed on the same day by the same provider to the same patient.
  • Empire also added language under the Multiple Surgery section to state that a single procedure will be subject to a multiple procedure reduction when submitted with multiple units.

 

Please visit www.empireblue.com/medicareprovider to view the Multiple and Bilateral Surgery reimbursement policy for additional information regarding percentages and reimbursement criteria.

 

EBSCRNU-0061-19 January 2020

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Featured In:
March 2020 Empire Provider News