CommercialCoverageMedium impact
Medical Policy Update for March 7, 2023
Blue Cross NC·NC · ENT (Ear, Nose & Throat), PM&R (Physical Medicine & Rehab), Orthopedics·Medical Policy
Effective date
Mar 7, 2023
We identified it
Jun 16, 2026
Summary
Blue Cross Blue Shield of North Carolina updated multiple medical policies effective March 7, 2023, with key changes including removal of hearing aid coverage for members under 22, addition of new billing codes for observation services, development of a new inpatient interfacility transfer policy, and removal of medical director discussion requirement for private duty nursing requests.
Action Required
By March 7, 2023: Billing team must update system to include new observation room billing codes 99221-99223, 99231-99233, and 99238-99239. Remove code E1399 from powered exoskeleton billing options. Update prior authorization workflows to remove automatic medical director consultation requirement for private duty nursing services. Review hearing aid benefit coverage limitations for members under age 22.