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Updates to the CareFirst BlueChoice In-Office Procedure List

For claims processed on and after March 7, 2008, the following procedure codes may be performed by Nephrologists  75710, 75790, 75820, 75822, 75825, 75827, 75894, 75982, 75978, 75902 and 76937 in a physician office setting (in addition to contracted radiology facilities).

Also, for claims processed on and after May 23, 2008, the following procedure codes may be performed by Chiropractors in a physician office setting (in addition to contracted radiology facilities). Be sure to verify member eligibility and coverage prior to rendering services, as benefit limitations and medical policy requirements still apply.

A complete list of in-office codes is located in the Benefits section of the CareFirst BlueChoice Provider Manual. To access the manual online, visit the Providers & Physicians section of www.carefirst.com and select Administrative Guides in the Solution Center.

It is the expectation of CareFirst and CareFirst BlueChoice that all providers who perform laboratory or imaging tests, at any site, will obtain and/or maintain the appropriate federal, state, and local licenses and certifications; training; quality controls; and safety standards pertinent to the tests performed.”