Posted 02/14/2024 Updated 03/26/2024
(See CPCP028 Non-Reimbursable, Experimental, Investigational and/or Unproven Services (EIU) Updated Versions – Effective 04/01/2024 & 05/15/2024 for update information posted 03/26/2024)
Blue Cross and Blue Shield of Texas has revised the Clinical Payment and Coding Policy (CPCP) for the CPCP028 Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) effective May 15, 2024. This update has been posted to the provider website.
Be sure to check eligibility and benefits before rendering service(s) to make sure a procedure is a covered benefit for the member. Refer to Clinical Payment and Coding Policies under Standards and Requirements on the provider website to review the current CPCPs.
If you have any questions or if you need additional information, please contact your BCBSTX Network Management Representative.
Clinical payment and coding policies are based on using healthcare professionals and industry standard guidelines. The clinical payment and coding guidelines are not intended to provide billing or coding advice but to serve as a reference for facilities and providers.