Blue Cross and Blue Shield of Texas policy
Modifier Reference Policy
Modifier Reference Policy is a public Blue Cross and Blue Shield of Texas policy (policy RP023, effective Oct 19, 2026). It lists 3 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
Check eligibility for free
No account required. Sign a BAA to see plan details, coordination of benefits and more
- Policy number
- RP023
- Effective
- Oct 19, 2026
- Line of business
- Commercial, Medicaid
- States
- TX
- Source
- www.bcbstx.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes. Open official prior authorization lists to check the member’s product.
| Code | Other Blue Cross and Blue Shield of Texas policies |
|---|---|
| 10021 | Policies naming 10021 |
| 69990 | Policies naming 69990 |
| 97153 | Policies naming 97153 |
All Blue Cross and Blue Shield of Texas policies · Blue Cross and Blue Shield of Texas prior authorization CPT list