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Blue Cross NCCommercial · Billing Codes · Medical Policy · NC · ENT (Ear, Nose & Throat), Plastic Surgery, Dermatology +2 moreMedium impact

Medical Policy Update for September 18, 2024

Act
immediately
Effective date
Sep 18, 2024
Identified
Jun 16, 2026

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.

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What to do

immediately · 4 steps
01Remove terminated CPT code 96152 from tinnitus treatment billing.
02Remove CPT code C1762 from skin and soft tissue substitute claims.
03Add TheraSkin® as approved product for diabetic ulcer treatment when coverage criteria are met.
04Update billing system and encounter forms to reflect these coding changes.

Codes mentioned

96152C1762

Original notice

Medical Policy Update for September 18, 2024
bluecrossnc.com · Always check the source before changing claims.
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