Medical & Coding Policies

Online Medical Policy

This Medical Policy is provided for informational purposes only. If Members have any questions about the medical necessity of a service or procedure, they should discuss the question with their Network Provider or call a member of our Customer Support Team.

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About Coding Policy

Generally, Blue Cross & Blue Shield of Mississippi follows CPT, HCPCS and ICD-10-CM national coding guidelines. Coding has a direct affect on reimbursement. It can affect the timeliness and accuracy of claim payments. The use of the Coding Policy is not intended to replace independent medical judgement for treatment of individuals.

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Out-of-State or Non-Network Providers

To view an out-of-state Blue Plans' medical policies or prior authorization/care coordination information, please select "Request Out-of-State Provider Information" below. You will need to enter the first three letters of the member's identification number on the Blue Cross and Blue Shield ID card.