CommercialCoverageMedium impact
Medical Policy Update for August 1, 2023
Blue Cross NC·NC · Neurology, Orthopedics, PM&R (Physical Medicine & Rehab) +1 more·Medical Policy
Effective date
Aug 1, 2023
We identified it
Jun 16, 2026
Summary
Blue Cross NC updated medical policies for seven different services effective August 1, 2023, including new coverage criteria for autonomic nervous system testing, updated definitions for bone healing procedures, and revised guidelines for orthopedic treatments like meniscal implants and hip surgery.
Action Required
By August 1, 2023: Billing team and providers should review updated medical necessity criteria for autonomic nervous system testing, electrical bone growth stimulation, shock wave treatment, meniscal allografts, myoelectric prosthetics, femoroacetabular impingement surgery, and vertebral axial decompression. Update documentation templates to reflect new nonunion definitions and ensure claims meet revised coverage criteria to avoid denials.