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CommercialBilling CodesMedium impact

Medical Policy Update for March 31, 2023

Blue Cross NC·NC · Oncology, Pulmonology, Sleep Medicine +5 more·Medical Policy
Effective date
Apr 1, 2023
We identified it
Jun 16, 2026
Days to comply

Summary

This Blue Cross NC policy update for March 31, 2023 adds multiple new PLA codes (0364U-0386U) and HCPCS codes (A2019-A2021, A7049, Q4265-Q4271) effective April 1, 2023, covering various laboratory tests, gene expression profiling, skin substitutes, and sleep apnea equipment. Most changes are administrative updates with no policy statement changes.

Action Required

Action needed
By April 1, 2023: Billing team must update billing software to include new PLA codes 0364U-0386U for laboratory and genetic testing, new HCPCS codes A2019-A2021 and Q4265-Q4271 for skin substitutes, and code A7049 for sleep apnea equipment. Update encounter forms and fee schedules to reflect these additions for Blue Cross NC claims.

Affected Billing Codes

A2019
A2020
A2021
A7049
Q4265
Q4266
Q4267
Q4268
Q4269
Q4270
Q4271