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Blue Cross and Blue Shield of Illinois policy

Therapeutic, Prophylactic, Diagnostic, Injection and Infusion Administration Coding

Therapeutic, Prophylactic, Diagnostic, Injection and Infusion Administration Coding is a public Blue Cross and Blue Shield of Illinois policy (policy RP026, effective Aug 28, 2026). It lists 37 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

View the original policy (PDF) ↗

Payer
Blue Cross and Blue Shield of Illinois
Policy number
RP026
Effective
Aug 28, 2026
Line of business
Commercial, Medicaid
States
IL
Source
www.bcbsil.com

Codes in this policy

The CPT and HCPCS codes the policy names. A policy can name a code it excludes.

CodeOther Blue Cross and Blue Shield of Illinois policies
96360Policies naming 96360
96361Policies naming 96361
96365Policies naming 96365
96366Policies naming 96366
96367Policies naming 96367
96368Policies naming 96368
96369Policies naming 96369
96370Policies naming 96370
96371Policies naming 96371
96372Policies naming 96372
96373Policies naming 96373
96374Policies naming 96374
96375Policies naming 96375
96376Policies naming 96376
96377Policies naming 96377
96379Policies naming 96379
96401Policies naming 96401
96402Policies naming 96402
96405Policies naming 96405
96406Policies naming 96406
96409Policies naming 96409
96411Policies naming 96411
96413Policies naming 96413
96415Policies naming 96415
96417Policies naming 96417
96420Policies naming 96420
96422Policies naming 96422
96423Policies naming 96423
96425Policies naming 96425
96440Policies naming 96440
96446Policies naming 96446
96450Policies naming 96450
96542Policies naming 96542
96547Policies naming 96547
96549Policies naming 96549
99211Policies naming 99211
J2357Policies naming J2357

All Blue Cross and Blue Shield of Illinois policies

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.

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