CommercialBilling CodesMedium impact
Medical Policy Update for November 7, 2023
Blue Cross NC·NC · Neurosurgery, Neurology, Pain Management +3 more·Medical Policy
Effective date
Nov 7, 2023
We identified it
Jun 16, 2026
Summary
Blue Cross Blue Shield of North Carolina updated 30+ medical policies on November 7, 2023, with changes primarily to policy descriptions, references, and FDA device listings. Most changes are editorial clarifications with no impact to coverage criteria, though some billing codes were updated including removal of terminated CPT codes and ICD-10 code updates.
Action Required
By November 7, 2023: Billing team must immediately stop using terminated CPT codes 64999 (for MRI-guided laser therapy) and 95973 (for spinal cord stimulation), remove dental code D8690 from orthodontic billing, and update headache diagnosis coding to use specific ICD-10 codes R51.0 and R51.9 instead of general R51 code. Update billing system rules and encounter forms accordingly to prevent claim denials.