Start free

PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
Blue Cross NCCommercial · Coverage · Medical Policy · NC · Gastroenterology, Endocrinology, Oncology +4 moreHigh impact

Medical Policy Update for May 16, 2023

Act
immediately
Effective date
May 16, 2023
Identified
Jun 16, 2026

Summary

Blue Cross Blue Shield of North Carolina updated 25+ medical policies effective May 16, 2023, including expanded coverage for diabetes testing, esophageal pathology testing, hepatitis testing, and liquid biopsy. Multiple billing codes were added or removed across various specialties, and fibromyalgia testing is now considered investigational and non-covered.

Get alerts when payers change rules like this one

We check Blue Cross NC and other payers every day and email you when a change matches your specialty and state.

Get Blue Cross NC alertsPolicy Monitoring is free. No card required.

What to do

immediately · 4 steps
01Billing team must update billing software to include new CPT codes 82951, 82952 for diabetes testing; codes 86704-87517, G0499 for hepatitis testing; and codes 81194-0368U for liquid biopsy.
02Remove deleted codes 0324U, 0325U, 81301, 81404, 0239U, 0242U, 0346U, 81449, 81451, 81456 from billing system.
03Stop billing for fibromyalgia testing as it is now investigational and non-covered.
04Update encounter forms and notify providers of expanded coverage criteria for diabetes, hepatitis, and esophageal testing.

Codes mentioned

829518295281479867048670586706873408734187517G04998119481210812758127681405814068130181404814498145181456

Original notice

Medical Policy Update for May 16, 2023
bluecrossnc.com · Always check the source before changing claims.
View original ↗

Related changes

See all Blue Cross NC changes →
Medical Policy Update for May 15, 2024HighEffective May 15, 2024 · Medical PolicyMedical Policy Update for April 1, 2025MediumEffective Apr 1, 2025 · Medical PolicyMedical Policy Updates August 5, 2026HighEffective Aug 5, 2026 · Medical PolicyMedical Policy Update for December 30, 2022HighEffective Jan 1, 2023 · Medical PolicyBrowse every Blue Cross NC change in the policy list

Related policy hubs

Blue Cross NC policiesNC policy changesGastroenterologyEndocrinologyOncologyHematologyPathologyInternal MedicineFamily MedicineCode 82951Code 82952Code 81479Code 86704Code 86705Code 86706Code 87340Code 87341Code 87517Code G0499Code 81194Code 81210Code 81275Code 81276Code 81405Code 81406Code 81301Code 81404Code 81449Code 81451Code 81456

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Policy MonitoringPayer policy, prior auth and coding changes, filtered to your saved searchesOIG ScreeningStaff and vendors screened every month against OIG LEIE, SAM.gov and state Medicaid listsPrior Auth LookupKnow if a service needs prior authorization before you schedule itCredentialing TrackerLicenses, CAQH, Medicare revalidation and payer enrollments, with reminders before anything lapsesCompliance CenterKeep your HIPAA program documented and ready to show
Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account