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CommercialBilling CodesMedium impact

Medical Policy Update for June 30, 2023

Blue Cross NC·NC · Cardiology, Bariatric Surgery, Orthopedics +6 more·Medical Policy
Effective date
Jul 1, 2023
We identified it
Jun 16, 2026
Days to comply

Summary

Blue Cross NC updated multiple medical policies with new billing codes, documentation clarifications, and policy guideline revisions across numerous specialties. Key changes include new CPT codes for leadless cardiac pacemakers, updated CGM device coverage including Dexcom G7, and terminology changes from 'morbid obesity' to 'Class III obesity' for bariatric surgery.

Action Required

Action needed
By July 1, 2023: Billing team must update billing software to include new CPT codes 0795T-0804T for leadless cardiac pacemakers, add codes 0398U, 0399U, 0401U, 0389U, 0390U, 0393U, 0394U, 0392U, 0396U, 0400U, 0809T for various diagnostic and surgical procedures, remove expired code 0377T from system, and add bariatric surgery codes C9784 and C9785. Update encounter forms and ensure providers use 'Class III obesity' terminology instead of 'morbid obesity' in documentation.

Affected Billing Codes

C9784
C9785