The launch of the new CPT codes has not been so easy for many providers. The issues are being identified across the country and APA is investigating many outstanding issues. These are the major problems we are finding:
– BCBS is not processing claims yet so they may be violating prompt pay laws. In NY it is 45 days.
-There have been some significant rate reductions in connection with the new codes.
-Some companies are paying the same rate for 90834 and 90837.
UBH is requiring pre auth for 90837.
Please let me know if there are additional code related issues.