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Medical Policy Update for May 29, 2024

Blue Cross NC·NC · Gastroenterology, Neurosurgery, Orthopedics +7 more·Medical Policy
Effective date
May 29, 2024
We identified it
Jun 16, 2026
Days to comply

Summary

Blue Cross Blue Shield of North Carolina updated 26 medical policies on May 29, 2024, with changes including billing code updates (new HCPCS codes E0732 for cranial electrotherapy, removal of codes B4151/B4156 for enteral nutrition), ICD-10 diagnosis code changes for occipital nerve stimulation, and policy guideline clarifications across multiple specialties.

Action Required

Action needed
Immediately: Billing team must update coding systems to use HCPCS code E0732 instead of terminated code K1002 for cranial electrotherapy stimulation. Remove enteral nutrition codes B4151 and B4156 from billing system. Update ICD-10 diagnosis coding for occipital nerve stimulation claims by removing code R51 and using R51.0 or R51.9 instead, and add the new approved headache diagnosis codes. Remove laboratory code 0357U and HCPCS code L8684 from billing options. Review policy guidelines for each affected specialty to ensure proper coverage criteria are met.

Affected Billing Codes

E0732
K1002
B4151
B4156
L8684
G43.B09
G44.201
G44.209
G44.211
G44.219
G44.221
G44.229
N94.3
N95.1
R51
R51.0
R51.9
G44.001
G44.009
G44.011
G44.019
G44.021
G44.029
G44.031
G44.039
G44.041
G44.049
G44.051
G44.059
G44.091
G44.099