CommercialBilling CodesMedium impact
Medical Policy Update for August 15, 2023
Blue Cross NC·NC · Family Medicine, Internal Medicine, Cardiology +2 more·Medical Policy
Effective date
Aug 15, 2023
We identified it
Jun 16, 2026
Summary
Blue Cross North Carolina updated multiple medical policies effective August 15, 2023, including changes to cardiovascular disease risk assessment coverage (allowing annual lipid screening for high-risk patients and once-per-lifetime Lp(a) testing), coronavirus testing restrictions, and various genetic testing policies. Several billing codes were added and removed across multiple policies.
Action Required
Immediately: Update billing system to use new CPT code 86140 and remove CPT code 84512 for cardiovascular risk assessment. For coronavirus testing, use CPT code 87913 and stop billing removed codes 87797, 87799, G2023, G2024, U0003, U0004, and U0005. Add code 0330U for vaginitis PCR testing. Review genetic testing policies for updated coverage criteria and ensure proper documentation for multi-gene panel testing.