CommercialBilling CodesHigh impact
Medical Policy Update for October 1, 2024
Blue Cross NC·NC · Orthopedics, Pulmonology, Oncology +6 more·Medical Policy
Effective date
Oct 1, 2024
We identified it
Jun 16, 2026
Summary
Blue Cross Blue Shield of North Carolina updated multiple medical policies for October 1, 2024, primarily adding new PLA, CPT, and HCPCS codes across various testing and device categories. Key changes include increased allergen testing limits (20 to 40 per year), new coverage for certain medical devices, and numerous new billing codes for molecular testing and diagnostic procedures.
Action Required
By October 1, 2024: Billing team must update billing system to include all new PLA codes (0502U, 0505U, 0506U, 0495U, 0514U, 0515U, and others listed) for molecular testing, pathogen panels, and genetic profiling. Update HCPCS codes for medical devices including orthotics (L1653, L1821) and stimulation devices (A4543, E0721, A4544, E0737). Remove discontinued compression device codes (E0650-E0673) and replace with E0683. Update allergen testing authorization limits from 20 to 40 tests per year effective October 15, 2024. Failure to use correct codes will result in claim denials.