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June 20, 2019

Changes to the BCBS of Alabama Anesthesia Fee Schedule

June 20, 2019

BCBS of Alabama Mid-Year Update:

Are you aware of the changes to the BCBSAL Anesthesia Fee Schedule

Attention! If you are an anesthesia provider or coder and like increasing your bottom line, this is vital information for you. There are important Blue Cross Blue Shield anesthesia conversion factor increases that begin on July 1st, 2019 for Alabama. Since this is the first rate increase in four years, make sure your fee schedule payment amounts are correct by staying on top of these new changes!


BCBSAL Conversion Factors that will be changing on July 1st, 2019:


  • In total, the Conversion Factor will be increasing from $61-$63 per unit, or 3.2% overall.
    • Under Medical Direction, this will increase
      • MDA - $1.30 per unit
      • CRNA - $0.70 per unit
    • CRNA only practice will increase:
      • CRNA only - $1.40 per unit
    • Other Increases include
      • 01967 - Epidural for Labor & Delivery ($630.00)
      • 01968 - Anesthesia for C-Sections ($189.00)
    • Add on Codes increasing to $63:
      • 99100 - Extreme age, less than 1 or over 70
      • 99116 - Hypothermia
      • 99135 - Hypotension
      • 99140 - Emergency

If you work with these codes on a day to day basis, make sure you are paying attention to these important changes. Keeping up with the Blue Cross Blue Shield changes will make sure you are getting reimbursed the proper amount for your work!

Contact us if you have any questions or would like to know how this will impact your business.

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