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Medical Policy Update for June 13, 2023

Blue Cross NC·NC · Neurosurgery, Pain Management, Gastroenterology +2 more·Medical Policy
Effective date
Jun 13, 2023
We identified it
Jun 16, 2026
Days to comply

Summary

Blue Cross Blue Shield of North Carolina added HCPCS code C1767 to the billing/coding sections for multiple neurostimulation and pain management procedures. Most policies underwent routine panel reviews with no changes to coverage statements, but billing teams can now use the additional HCPCS code for relevant procedures.

Action Required

Action needed
Immediately: Billing team must update system to include HCPCS code C1767 for neurostimulation procedures including gastric electrical stimulation, electrical neurostimulation, occipital nerve stimulation, sacral nerve neuromodulation, spinal cord stimulation, and sleep apnea surgery. Update encounter forms and billing software to recognize this additional code option for these procedures.

Affected Billing Codes

C1767