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Medical Policy Update for September 29, 2023

Blue Cross NC·NC · Neurology, Pain Management, Orthopedics +5 more·Medical Policy
Effective date
Oct 1, 2023
We identified it
Jun 16, 2026
Days to comply

Summary

Blue Cross Blue Shield of North Carolina updated multiple medical policies effective October 1, 2023, primarily adding new CPT, HCPCS, and ICD-10 codes across various specialties. The most significant change is the relaxation of tobacco cessation requirements for lumbar spine fusion procedures.

Action Required

Action needed
By October 1, 2023: Billing team must update billing software to include 30 new CPT/HCPCS/ICD-10 codes across multiple specialties including genetic testing, pain management, orthotics, and wound care. Update encounter forms to include new migraine codes G43.E01, G43.E09, G43.E11, G43.E19 for headache injection therapy. For lumbar spine procedures, remove tobacco cessation requirements from pre-surgical protocols - providers no longer need to obtain 6-week smoking cessation attestation but should still recommend cessation.

Affected Billing Codes

G43.E01
G43.E09
G43.E11
G43.E19
L1681
A2002
A2023
A2024
A2025
Q4285
Q4286
31237
31299