All PlansReimbursementMedium impact
Coding and Compensation Policy Updates
BCBS Montana·MT · Orthopedics, Psychiatry·Coding
Effective date
Jan 1, 2026
We identified it
Jun 18, 2026
Summary
Blue Cross Blue Shield of Montana updated multiple coding and compensation policies including Drug Testing, Robotic Assisted Surgery, Telehealth services, and Applied Behavioral Analysis. These policies contain updated payment rules and methodologies for CPT, HCPCS, and ICD-10 coding with varying effective dates from January 1 to March 20, 2026.
Action Required
By March 20, 2026: Billing team must access the revised policies through Availity Essentials Plan Documents Viewer application in Blue Cross and Blue Shield of Montana Payer Spaces. Review and implement changes for Drug Testing (effective March 15), Robotic Assisted Surgery (effective Jan 1), Telehealth Compensation and Services Codes (effective Jan 1), and Applied Behavioral Analysis for Spectrum Disorder (effective March 20). Update billing procedures and coding practices according to the detailed policy revisions.