Back to dashboard
CommercialBilling CodesHigh impact

Medical Policy Update for December 29, 2023

Blue Cross NC·NC·Medical Policy
Effective date
Jan 1, 2024
We identified it
Jun 16, 2026
Days to comply

Summary

Blue Cross NC updated multiple medical policies effective January 1, 2024, with extensive CPT and HCPCS code changes across numerous specialties. Key changes include new codes for procedures like phrenic nerve stimulation, bone density studies, and various ablation techniques, plus removal of outdated temporary codes.

Action Required

Action needed
By January 1, 2024: Billing team must update billing system with all new CPT/HCPCS codes and remove outdated codes listed. Update encounter forms to reflect new codes for procedures like phrenic nerve stimulation (33276-33288), bone density studies (0815T), and sacroiliac joint fusion (27278). Verify system accepts new PLA codes for genetic testing. Claims submitted with outdated codes will be denied.

Affected Billing Codes

58580
31242
31243
92622
92623
C9399
J3490
J3590
81462
L5615
L5926
81457
81458
81459
81463
81464
64596
64597
64598
33276
33277
33278
33279
33280
33281
33287
33288
93150
93151
93152
93153
A6545
97037
27278
81517
Q4279
Q4287
Q4288
Q4289
Q4290
Q4291
Q4292
Q4293
Q4294
Q4295
Q4296
Q4297
Q4298
Q4299
Q4300
Q4301
Q4302
Q4303
Q4304
K1001
K1028
K1029
K1016
K1017
K1018
K1019
K1023
A4540
A4541
A4542
E0733
E0734
C9771