CommercialBilling CodesMedium impact
Medical Policy Update for November 13, 2024
Blue Cross NC·NC · Oncology, OB-GYN, Neurology +4 more·Medical Policy
Effective date
Nov 13, 2024
We identified it
Jun 16, 2026
Summary
Blue Cross Blue Shield of North Carolina updated multiple medical policies effective November 13, 2024, with key changes including removal of CPT code A9590 for withdrawn radiopharmaceutical products, elimination of incorrect coding note for CPT 95904 in electrodiagnostic studies, and addition of new PLA codes 0474U and 0475U for genetic testing coverage.
Action Required
Immediately: Remove CPT code A9590 from billing system as the associated radiopharmaceutical product has been withdrawn from market. Update genetic testing billing to include new PLA codes 0474U and 0475U for BRCA testing and codes 0449U, 81479, 81599 for prenatal screening. Remove any billing edits that flag CPT 95904 as incorrect for quantitative sensory testing. Billing team should verify all referenced procedures align with updated coverage criteria for genetic testing policies.