Revision to Non-Reimbursable Experimental, Investigational and/or Unproven Services Policy

The Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) Clinical Payment and Coding Policy effective Dec. 1, 2020 was updated to remove code 91117. An updated Medical Policy MED201.017 Gastrointestinal Motility Measurement will be posted prior to Dec. 1 to assist providers in determining when this code may be considered medically necessary.

Refer to Clinical Payment and Coding Policies under Standards and Requirements on the provider website to review the revised Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU)  CPCP effective 12/01/2020.

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

Clinical payment and coding policies are based on using healthcare professionals and industry standard guidelines. 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.