March 2023
CPT Category II Codes Can Help Close Care Gaps
As of January 16, 2023, BCBSOK is allowing reimbursement for the CPT II: 0503F at $10 where previously this code was zero priced.
Using the proper Current Procedural Terminology (CPT®) Category II codes when filing claims can help streamline your administrative processes and ensure gaps in care are closed.
Why it matters: We use metrics to monitor and improve the quality of care our members receive.
How CPT II Codes Can Help: CPT II codes are more specific than CPT I codes. When submitted for services performed during office, lab or facility visits, CPT II codes can help:
- Provide more accurate medical data and decrease requests for members’ records for review
- Track member screenings to help you monitor care and avoid sending unnecessary reminders
How to Submit CPT II Codes: CPT II codes may be submitted on claims with other applicable codes. See our Claims and Eligibility webpage for claims filing tips.
CPT II Coding Quick Reference |
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Quality Metric |
Description |
Applicable Code |
Postpartum Care Visit |
Pregnant members who delivered live births and completed a postpartum visit from 1 week to 12 weeks after their delivery date |
Postpartum Visits CPT II: 0503F |
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