CommercialBilling CodesMedium impact
Infusion Pump Billing, Unclassified HCFA Unit Billing
Blue Cross Blue Shield of Wyoming·WY · Oncology, Pain Management, Endocrinology +3 more·Prior Authorization
We identified it
Jun 19, 2026
Summary
BCBS Wyoming requires specific modifiers (NU, UE, or RR) for implantable infusion pump billing with HCPCS E0782 for reimbursement. Additionally, Beyfortus (RSV prevention drug) no longer requires prior authorization and should be billed with new codes 90380/90381.
Action Required
Immediately: Update billing system to require modifiers NU (new), UE (used), or RR (rental) when billing HCPCS E0782 for implantable infusion pumps. Add new CPT codes 90380 and 90381 for Beyfortus RSV prevention without prior authorization requirements. Remove prior auth requirements for Beyfortus while maintaining them for Synagis. Claims for E0782 without required modifiers will not be reimbursed.