CommercialBilling CodesMedium impact
Medical Policy Update June 10, 2026
Blue Cross NC·NC · Orthopedics, Neurosurgery, Pain Management +3 more·Medical Policy
Effective date
Jun 10, 2026
We identified it
Jun 16, 2026
Summary
Blue Cross NC updated 29 medical policies with various changes including coverage expansions for proton beam therapy, new billing codes for nerve stimulation procedures, and formatting updates. Most changes are administrative updates to references and policy guidelines without changing coverage decisions.
Action Required
By June 10, 2026: Billing team must update coding for percutaneous electrical nerve stimulation procedures to use new CPT codes 64555, 64585, 64596, 64597, 95970, 95971, 95972, C1767, and C9807 instead of unlisted code 64999. Remove code 0394T from electronic brachytherapy billing. Update prior authorization requirements for expanded proton beam therapy coverage including genetic syndrome criteria. Review interspinous fixation billing to include new CPT code 22899.