OSP News

Blue Cross Complete Proper Medical Documentation Requirements

Posted: 09/17/2025

Providers must also ensure that proper procedure codes and any procedure modifiers are properly documented and submitted on claims. 

Common procedure codes where medical record documentation is not supported include: 

  • Immunization administration codes (90460 and 90461) 
  • Developmental and Behavioral Health Screening and Testing (96127) 
  • Evaluation and Management Codes 
  • Procedure Code Modifiers 

Click here to read the full announcement from Blue Cross Complete. 

We value your privacy. We use cookies and other technologies to keep the web site reliable and secure, tailor your experience, and measure web site performance, as described in our Privacy Policy.

x

OSP Technical Support