Update: Oncology management program for Blue Cross commercial members will not include use of S codes (S0353 and S0354)

In a September 2020 Record article, we reported that Blue Cross Blue Shield of Michigan expanded its oncology management program administered by AIM Specialty Health^® to include all fully insured commercial members starting Dec. 1, 2020.

As the result of an update to the program, providers are ineligible for enhanced reimbursement for Blue Cross commercial fully insured members when choosing an AIM Cancer Treatment Pathway regimen when one is clinically appropriate. These services are billed using codes S0353 and S0354.

All other program benefits outlined in the article will apply to services for Blue Cross commercial fully insured members.

This change doesn't apply to Medicare Plus Blue^SM, Blue Care Network commercial and BCN Advantage^SM members, or to UAW Retiree Medical Benefits Trust non-Medicare members. For those members, all program benefits still apply, including the enhanced reimbursement.

Posted: December 2020
Line of business: Blue Cross Blue Shield of Michigan