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Medical Policy Update for February 21, 2024
Act
by Feb 21, 2024
Effective date
Feb 21, 2024
Identified
Jun 16, 2026
Summary
Blue Cross NC updated 24 medical policies effective February 21, 2024, including significant changes to diabetes screening (now covers fasting glucose every 3 years for ages 35+), vaginitis diagnosis testing panels, genetic testing criteria for multiple conditions, and cancer-related molecular testing coverage.
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What to do
by Feb 21, 2024 · 4 steps
01Billing team must update system rules for diabetes screening to allow fasting glucose tests every 3 years for asymptomatic patients 35+ with no risk factors.
02Remove billing codes 96040 and S0265 from genetic testing (Fanconi Anemia and Mitochondrial Disorders).
03Add new PLA codes 0329U and 0019U for proteogenomic cancer testing.
04Update prior authorization requirements for new vaginitis panel testing and genetic testing criteria per updated coverage guidelines.
Codes mentioned
814038144396040S0265
Original notice
Medical Policy Update for February 21, 2024
bluecrossnc.com · Always check the source before changing claims.
Related changes
See all Blue Cross NC changes →Medical Policy Update for May 15, 2024HighEffective May 15, 2024 · Medical PolicyMedical Policy Update for April 1, 2025MediumEffective Apr 1, 2025 · Medical PolicyMedical Policy Update for December 13, 2022HighEffective Dec 13, 2022 · Medical PolicyMedical Policy Update for September 4, 2024MediumEffective Sep 4, 2024 · Medical PolicyBrowse every Blue Cross NC change in the policy list