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Blue Cross NCCommercial · Billing Codes · Medical Policy · NC · Orthopedics, Pulmonology, Oncology +6 moreHigh impact

Medical Policy Update for October 1, 2024

Act
by Oct 1, 2024
Effective date
Oct 1, 2024
Identified
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.

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What to do

by Oct 1, 2024 · 4 steps
01Billing 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.
02Update HCPCS codes for medical devices including orthotics (L1653, L1821) and stimulation devices (A4543, E0721, A4544, E0737).
03Remove discontinued compression device codes (E0650-E0673) and replace with E0683.
04Update allergen testing authorization limits from 20 to 40 tests per year effective October 15, 2024.
If missed: Failure to use correct codes will result in claim denials.

Codes mentioned

A4543E0721L1653L1821A7021E0469E0650E0651E0652E0655E0656E0657E0660E0665E0666E0667E0668E0669E0670E0671E0672E0673E0683E2513A4544E0737C2596

Original notice

Medical Policy Update for October 1, 2024
bluecrossnc.com · Always check the source before changing claims.
View original ↗

Related changes

See all Blue Cross NC changes →
Medical Policy Update for May 14, 2025MediumEffective May 14, 2025 · Medical PolicyMedical Policy Updates August 5, 2026HighEffective Aug 5, 2026 · Medical PolicyMedical Policy Update July 1, 2026HighEffective Jul 1, 2026 · Medical PolicyMedical Policy Update for May 17, 2022HighEffective May 17, 2022 · Medical PolicyBrowse every Blue Cross NC change in the policy list

Related policy hubs

Blue Cross NC policiesNC policy changesOrthopedicsPulmonologyOncologyUrologyCardiologyGastroenterologyNeurologyAllergy & ImmunologyPain ManagementCode A4543Code E0721Code L1653Code L1821Code A7021Code E0469Code E0650Code E0651Code E0652Code E0655Code E0656Code E0657Code E0660Code E0665Code E0666Code E0667Code E0668Code E0669Code E0670Code E0671Code E0672Code E0673Code E0683Code E2513Code A4544Code E0737Code C2596

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