CommercialBilling CodesMedium impact
Medical Policy Update for December 17, 2024
Blue Cross NC·NC · Neurology, Oncology, Hematology +5 more·Medical Policy
Effective date
Jan 1, 2025
We identified it
Jun 16, 2026
Summary
Blue Cross Blue Shield of North Carolina updated multiple medical policies effective December 17, 2024, with several new CPT codes taking effect January 1, 2025. Key changes include expanded coverage for Alzheimer's biomarkers, updated cervical cancer screening criteria, and new billing codes for various diagnostic tests.
Action Required
By January 1, 2025: Billing team must update billing system to include new CPT codes 82233, 82234, 83884, 84393, 84394, and 87626, and PLA codes 0479U and 0503U. Update encounter forms for providers performing Alzheimer's biomarker testing, cervical cancer screening, and hematopoietic neoplasm genomic testing. Review updated coverage criteria for these services to ensure proper documentation and billing compliance.