CPCP004 NICU Policy – Correction

Blue Cross and Blue Shield of Texas posted an update to the Neonatal Intensive Care Unit (NICU) Level of Care Authorization and Reimbursement Policy on 12/29/2020 indicating an effective date of May 5. 2021. The correct 90-day effective date of this policy should be April 5, 2021. Please refer to the updated policy below.

Neonatal Intensive Care Unit (NICU) Level of Care Authorization and Reimbursement Policy

Be sure to check eligibility and benefits before rendering service(s) to make sure a procedure is a covered benefit for the member and determine any prior authorization requirements. 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