Who is affected by this change?

This affects Blue Cross NC Oncology, Radiology, Genetic Testing providers in NC on Commercial plans.

When does this change take effect?

This change is effective Jan 1, 2026.

Which billing codes are affected?

The following codes are affected: 81524, 81354, 77402, 77407, 77412.

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CommercialBilling CodesMedium impact

Medical Policy Update January 21, 2026

Blue Cross NC·NC · Oncology, Radiology, Genetic Testing·Medical Policy

Effective date

Jan 1, 2026

We identified it

Jun 16, 2026

Days to comply

—

Summary

Blue Cross NC updated three medical policies effective January 1, 2026: added new genetic testing codes 81524 and 81354 for billing genetic and proteogenomic testing, and removed radiosurgery codes 77402, 77407, and 77412 from coverage.

Action Required

Action needed

Immediately: Billing team must update system to include new genetic testing codes 81524 and 81354 for Blue Cross NC claims. Remove codes 77402, 77407, and 77412 from radiosurgery billing options. Update encounter forms and fee schedules to reflect these changes. Verify system accepts new genetic testing codes before submitting claims.

Affected Billing Codes

81524

81354

77402

77407

77412

Related policy hubs

Blue Cross NC policies NC policy changes Oncology Radiology Genetic Testing Code 81524 Code 81354 Code 77402 Code 77407 Code 77412