CommercialBilling CodesHigh impact
Medical Policy Update December 31, 2025
Blue Cross NC·NC · Oncology, Neurosurgery, Orthopedics +5 more·Medical Policy
Effective date
Jan 1, 2026
We identified it
Jun 16, 2026
Summary
Blue Cross NC updated multiple medical policies effective January 1, 2026, with extensive billing code changes including new CPT codes for IMRT procedures, archived spine-related policies, updated genetic testing codes, and new skin substitute codes. Most changes involve updating billing systems with new procedure codes while removing outdated ones.
Action Required
Before January 1, 2026: Billing team must update billing system software to add 70+ new CPT, HCPCS, and PLA codes while removing 15+ terminated codes including 0275T, 77385, 77386, G6015, G6016, and others. Update encounter forms and billing templates to reflect new codes for IMRT procedures, genetic testing, skin substitutes, and pain management. Verify billing system can accommodate new Q4398-Q4433 skin substitute codes and updated neurostimulation codes. Claims submitted with terminated codes after January 1 will be denied.