Blue Cross NC Status Codes Reimbursement Policy Update: Codes 99050 and 99051

Due to recent concerns regarding the bundling of Status “B” codes 99050 (after hours services when office is normally closed) and 99051 (services provided in the office during regularly scheduled evening, weekend, or holiday office hours) as described in the Status Codes Reimbursement Policy, Blue Cross NC has made the business decision to update the Status Codes Reimbursement Policy, effective January 21, 2022.

Blue Cross NC will provide reimbursement for service code 99050 and 99051 for any place of service other than urgent care or emergency department for all specialties.

Claims with dates of service prior to January 21, 2022, that are already pended for post pay review will be processed according to the policy in place on the date services were rendered.

As a reminder, with the start of the new year, be sure to check and monitor medical policy changes for all carriers.

Melissa White & Jacob Rodman
NCMGMA Advocacy Co-Chairs