Back to dashboard
CommercialBilling CodesHigh impact

Medical Policy Update February 11, 2026

Blue Cross NC·NC · Family Medicine, Internal Medicine, OB-GYN +4 more·Medical Policy
Effective date
Feb 11, 2026
We identified it
Jun 16, 2026
Days to comply

Summary

Blue Cross NC updated multiple medical policies effective February 11, 2026, including changes to coverage criteria for STI testing, diabetes testing code additions, cervical cancer screening restrictions, and vaginitis testing limits. Several CPT codes were removed from covered services while new codes were added for specific conditions.

Action Required

Action needed
By February 11, 2026: Billing team must update billing software to remove deleted CPT codes (87040, 0551U, 81376, 81377, 81382, 81383, 0500T, 87661, 87631, and others listed) and add new covered codes (82947, 0068U, 87494, 87800, 0483U). Update encounter forms to reflect new coverage restrictions for STI testing, cervical cancer screening, and vaginitis testing. Implement billing limit of one NAAT panel test every seven days for vaginitis testing. Claims using deleted codes will be denied.

Affected Billing Codes

87040
81376
81377
81382
81383
82947
87661
87631
82565
82575
84702
84703
86701
86702
86703
86705
86803
86804
87660
G0432
G0433
G0435
G0472
G0475
S3645
87494
87800
82239
82725
82784
83520
83630
87177
87209
87328
87329
87336
87400
87501
87804