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CommercialBilling CodesMedium impact

Medical Policy Update for May 30, 2023

Blue Cross NC·NC · Infectious Disease, Family Medicine, Internal Medicine +5 more·Medical Policy
Effective date
May 30, 2023
We identified it
Jun 16, 2026
Days to comply

Summary

Blue Cross NC updated 26 medical policies on May 30, 2023, including coverage changes for HIV testing (new combined policy with additional billing codes), STI diagnostic testing (expanded coverage for under-18 screening), and clarifications to hepatic chemoembolization criteria. Multiple policies had references updated and descriptions clarified without coverage changes.

Action Required

Action needed
By June 15, 2023: Billing team must update system with new HIV testing codes (86689, 86701, 86702, 86703, 87389, 87390, 87391, 87534, 87535, 87537, 87538, 87806, 87900, 0219U, G0432, G0433, G0435, G0475, S3645) and STI testing codes (87660, 87661, 87808). Update encounter forms to reflect expanded STI screening coverage for sexually active patients under 18. Note that HIV policies were combined into single 'Human Immunodeficiency Virus' policy M2116.

Affected Billing Codes

87660
87661
87808
86689
86701
86702
86703
87389
87390
87391
87534
87535
87537
87538
87806
87900
G0432
G0433
G0435
G0475
S3645