Currentblue cross blue shield - michiganPolicy N/A

Full body skin examination

Medicare Plus Blue (Medicare Advantage PPO) enhanced benefit policy describing coverage, coding, payment and billing rules for full body skin examinations for plan members; aligns with Original Medicare except where enhanced benefit applies.

Policy Summary

Payerblue cross blue shield - michigan

PolicyFull body skin examination

Policy CodePolicy N/A

Change TypeTemplate transition (no benefit or payment changes)

Effective DateJan 1, 2026

Next Review DateN/A

Key ActionMaintain documentation to support the level of E/M service billed and bill the service with ICD-10 code Z12.83, following Medicare Advantage PPO billing requirements.

SourceLink

POLICY UPDATE CHANGES

Policy transitioned to a new template on 2026-01-01; no changes made to benefit and payment conditions.

OnceFrequency limit for benefit

99202-99205, 99211-99215Permitted E/M CPT codes for payment

Z12.83Required ICD-10 diagnosis code for payment

Office & outpatientPayable locations

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OpenPayer

Full body skin examination

Conditions for Payment