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CommercialBilling CodesMedium impact

Medical Policy Update for September 18, 2024

Blue Cross NC·NC · ENT (Ear, Nose & Throat), Plastic Surgery, Dermatology +2 more·Medical Policy
Effective date
Sep 18, 2024
We identified it
Jun 16, 2026
Days to comply

Summary

Blue Cross NC updated 18 medical policies with mostly administrative changes including reference updates and clarifications. Key billing changes include adding TheraSkin® to approved skin substitutes for diabetic ulcers, removing terminated CPT code 96152 from tinnitus treatment, and removing CPT code C1762 from skin substitutes billing.

Action Required

Action needed
Immediately: Remove terminated CPT code 96152 from tinnitus treatment billing. Remove CPT code C1762 from skin and soft tissue substitute claims. Add TheraSkin® as approved product for diabetic ulcer treatment when coverage criteria are met. Update billing system and encounter forms to reflect these coding changes.

Affected Billing Codes

96152
C1762