Florida Blue policies, page 2

Search Florida Blue's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

87 public policies Substrate tracks for Florida Blue, by title.

Florida Blue policies
PolicyDetailsCodesSource
Multiple Surgical Procedure Reduction (Including Multiple Endoscopic Procedure Reduction)10-026 · Effective Aug 8, 2024 · Commercial, Medicaid2Original policy ↗
Multiple Therapy Procedure Reduction10-038 · Effective Aug 1, 2014 · Commercial, Medicaid1Original policy ↗
Multiple Visit Reduction10-016 · Commercial, Medicaid54Original policy ↗
National Correct Coding Initiative10-006 · Commercial, Medicaid—Original policy ↗
Never Event – Hospital Acquired Condition (HAC) in Inpatient Setting21-074 · Commercial—Original policy ↗
Never Events - Wrong Surgery18-060 · Commercial—Original policy ↗
New Patient Visits10-018 · Commercial, Medicaid36Original policy ↗
NonPhysician Healthcare Professionals Billing E-M Codes21-073 · Commercial, Medicaid16Original policy ↗
Obstetric Services19-065 · Commercial, Medicaid20Original policy ↗
Outpatient Facility Alternate Procedure Code Reimbursement23-080 · Commercial, Medicaid—Original policy ↗
Outpatient “Token Charges” Reimbursement and Billing - Medicare Advantage24-0851Original policy ↗
Physical Therapy Assistant and Occupational Therapy Assistant Services24-082 · Commercial, Medicaid—Original policy ↗
Portable X-Ray and EKG Supplier Services10-029 · Commercial, Medicaid4Original policy ↗
Professional Technical Component10-014 · Commercial, Medicaid1Original policy ↗
Prolonged Services16-048 · Commercial, Medicaid33Original policy ↗
Provider Administered Drug ProgramCommercial416Original policy ↗
Readmissions Review Quality Program for MA & Comm16-050 · Commercial, Medicaid—Original policy ↗
Reduced Services-52 Modifier10-031 · Commercial, Medicaid—Original policy ↗
Rehabilitative TherapyCommercial131Original policy ↗
Reporting Habilitative and Rehabilitative Services16-051 · Commercial, Medicaid—Original policy ↗
Robotic Assisted Surgery10-030 · Commercial, Medicaid1Original policy ↗
Robotic Assisted Surgery Facility Policy16-053 · Commercial1Original policy ↗
Sepsis24-083 · Commercial, Medicaid—Original policy ↗
Sleep CenterCommercial51Original policy ↗
Split Surgical Package10-020 · Commercial, Medicaid—Original policy ↗
Standby Services10-035 · Commercial, Medicaid3Original policy ↗
Supplies10-021 · Commercial, Medicaid9Original policy ↗
Surgical Assistant10-027 · Commercial, Medicaid—Original policy ↗
T-Status Codes10-022 · Commercial, Medicaid8Original policy ↗
Telehealth Facility Procedure Q301421-071 · Commercial, Medicaid1Original policy ↗
Third Party Billing When a Member is Inpatient22-078 · Commercial—Original policy ↗
Trauma Alert Activation – Institutional Billing25-086 · Commercial3Original policy ↗
Unbundled, Incidental, and Mutually Exclusive Services18-063 · Commercial, Medicaid65Original policy ↗
Unclassified Drugs10-008 · Commercial, Medicaid22Original policy ↗
Unlisted Procedure Codes10-013 · Commercial, Medicaid10Original policy ↗
Urgent Care Center and ImmunizationsCommercial54Original policy ↗
Virtual Visits20-069 · Commercial, Medicaid17Original policy ↗

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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.