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Published: August 31, 2020

Blue Shield Announces Five Percent Pay Bump

In an August 2020 notice to providers, Blue Shield announced it would be temporarily increasing payment rates for certain E/M codes to help reduce the negative impacts of COVID-19. The increased pay rates are equal to a flat five percent fee schedule increase for providers on the Blue Shield standard fee schedule, effective for services delivered from August 24 to December 31, 2020, for the following services:

CPT Code Description
99201 – 99205 Office visit – new patient
99211 – 99215 Office visit – existing patient
99241 – 99245 Office consultation
99381 – 99387 Initial preventive medicine visit – new patient
99391 – 99397 Periodic preventive medicine visit – established patient
99441 – 99443 Physician/qualified health professional telephone evaluation.
99421 – 99423 Online digital evaluation and management services for established patient
99446 – 99449 Interprofessional phone/internet assessment and management service

Physicians can also request a copy of the new fees by completing the allowance review form enclosed with the notice, or by calling the Blue Shield Provider Information and Enrollment Department at (800) 258-3091.

 

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