High impact
Medical Policy Update July 15, 2026
Blue Cross NC·Effective Jul 15, 2026
Blue Cross NC released a comprehensive medical policy update effective July 15, 2026, affecting 30+ clinical policies across cardiology, endocrinology, ophthalmology, orthopedics, and other specialties. Key changes include: removal of specific billing codes (99091, 98925-98929), expansion of coverage for artificial pancreas devices in type 2 diabetes, archival of three policies (Fundus Photography, Refractive Surgery, Sensory Integration Therapy), and clarification edits to multiple cardiac and ophthalmic procedures. Billing teams must identify affected services within their patient populations and update claims processing logic accordingly.