NICU Level of Care Authorization and Reimbursement - Clinical Payment and Coding Policy Posted

Blue Cross and Blue Shield of Texas (BCBSTX) is implementing clinical payment and coding policies based on criteria developed by specialized professional societies, national guidelines (e.g. Milliman Care Guidelines (MCG)) and the CMS Provider Reimbursement Manual. Additional sources are used and can be provided upon request. The clinical payment and coding guidelines are not intended to provide billing or coding advice but to serve as a reference for facilities and providers.

The following policies are being implemented effective 10/01/2017:

• Newborn Intensive Care Unit (NICU) Level of Care Authorization and Reimbursement 

Refer to Clinical Payment and Coding Policies under Standards and Requirements on the bcbstx.com/provider for details on the policies being implemented and additional information on when they apply.

If you have any questions or if you need additional information, please contact your BCBSTX Network Management Representative.