CommercialBilling CodesHigh impact
Medical Policy Update for July 17, 2024
Blue Cross NC·NC · Endocrinology, Ophthalmology, Orthopedics +5 more·Medical Policy
Effective date
Jul 17, 2024
We identified it
Jun 16, 2026
Summary
Blue Cross NC updated multiple medical policies effective July 17, 2024, with significant changes including new CPT/HCPCS codes for various procedures, updated coverage criteria for artificial pancreas systems and continuous glucose monitoring, and policy clarifications across multiple specialties including ophthalmology, orthopedics, and cardiology.
Action Required
Immediately: Billing team must update billing systems to add new CPT codes 0459U, 0456U, 0469U, 0455U, 0463U, 0466U, 0450U, 0451U, 0457U, 0458U, 0472U, and HCPCS codes S9002 and C1820 effective 7/1/2024. Remove deleted codes K0553 and K0554 from continuous glucose monitoring claims and CPT code 0353U from STI testing. Update prior authorization requirements for artificial pancreas systems with new 3-month insulin pump requirement and revised criteria for continuous glucose monitoring systems.