Use the Clear Claim Connection (C3) simulation tool to test HCPCS/CPT codes and view clinical edits with rationales.
Payment processing codes
Refer to the following documents for Blue Shield's payment processing logic and procedure codes:
Blue Shield Payment Processing Logic (PDF, 18 KB)
Hospital Acquired Condition (HAC)/Never Events Codes (Excel, 346 KB) Effective 10/01/2022 - 09/30/2023
Incidental Procedure Codes (PDF, 73 KB)
Office-Based Ambulatory Procedure Codes (PDF, 90 KB)
Local Code/National Code Crosswalk (PDF, 146 KB)