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Blue Cross NCCommercial · Billing Codes · Medical Policy · NCHigh impact

Medical Policy Update for December 29, 2023

Act
by Jan 1, 2024
Effective date
Jan 1, 2024
Identified
Jun 16, 2026

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for procedures like phrenic nerve stimulation, bone density studies, and various ablation techniques, plus removal of outdated temporary codes.

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What to do

by Jan 1, 2024 · 4 steps
01Billing team must update billing system with all new CPT/HCPCS codes and remove outdated codes listed.
02Update encounter forms to reflect new codes for procedures like phrenic nerve stimulation (33276-33288), bone density studies (0815T), and sacroiliac joint fusion (27278).
03Verify system accepts new PLA codes for genetic testing.
04Claims submitted with outdated codes will be denied.

Codes mentioned

5858031242312439262292623C9399J3490J359081462L5615L59268145781458814598146381464645966459764598332763327733278332793328033281332873328893150931519315293153A6545970372727881517Q4279Q4287Q4288Q4289Q4290Q4291Q4292Q4293Q4294Q4295Q4296Q4297Q4298Q4299Q4300Q4301Q4302Q4303Q4304K1001K1028K1029K1016K1017K1018K1019K1023A4540A4541A4542E0733E0734C9771

Original notice

Medical Policy Update for December 29, 2023
bluecrossnc.com · Always check the source before changing claims.
View original ↗

Related changes

See all Blue Cross NC changes →
Medical Criteria Update for April 6, 2022MediumEffective Apr 6, 2022 · Medical PolicyMedical Policy Update for March 31, 2022MediumEffective Mar 31, 2022 · Medical PolicyMedical Policy Update June 10, 2026MediumEffective Jun 10, 2026 · Medical PolicyMedical Policy Update for May 2, 2023MediumEffective May 2, 2023 · Medical PolicyBrowse every Blue Cross NC change in the policy list

Related policy hubs

Blue Cross NC policiesNC policy changesCode 58580Code 31242Code 31243Code 92622Code 92623Code C9399Code J3490Code J3590Code 81462Code L5615Code L5926Code 81457Code 81458Code 81459Code 81463Code 81464Code 64596Code 64597Code 64598Code 33276Code 33277Code 33278Code 33279Code 33280Code 33281Code 33287Code 33288Code 93150Code 93151Code 93152Code 93153Code A6545Code 97037Code 27278Code 81517Code Q4279Code Q4287Code Q4288Code Q4289Code Q4290Code Q4291Code Q4292Code Q4293Code Q4294Code Q4295Code Q4296Code Q4297Code Q4298Code Q4299Code Q4300Code Q4301Code Q4302Code Q4303Code Q4304Code K1001Code K1028Code K1029Code K1016Code K1017Code K1018Code K1019Code K1023Code A4540Code A4541Code A4542Code E0733Code E0734Code C9771

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