CommercialBilling CodesHigh impact
Medical Policy Update October 1, 2025
Blue Cross NC·NC · Oncology, Endocrinology, Dermatology +4 more·Medical Policy
We identified it
Jun 16, 2026
Summary
Blue Cross Blue Shield of North Carolina updated multiple medical policies effective October 1, 2025, adding numerous new CPT codes for laboratory testing, genomic testing, and medical devices. Key changes include new billing codes for cancer testing, Alzheimer's markers, and expanded coverage for pneumatic compression pumps for lymphedema treatment.
Action Required
Immediately: Billing team must update system with 43 new CPT and HCPCS codes effective October 1, 2025. Add codes to billing software, update encounter forms, and ensure proper coding for laboratory tests, genomic testing, skin substitutes, and pneumatic compression devices. Verify coverage criteria for continuous glucose monitoring and pneumatic compression pumps before billing.