CommercialBilling CodesMedium impact
Medical Policy Update for February 7, 2023
Blue Cross NC·NC · Family Medicine, Internal Medicine, OB-GYN +5 more·Medical Policy
Effective date
Feb 7, 2023
We identified it
Jun 16, 2026
Summary
Blue Cross NC updated multiple medical policies effective February 7, 2023, with significant changes to genetic testing coverage criteria, new billing codes for general genetic testing, and updated guidelines for coronavirus testing, nasal procedures, and prenatal testing. Most changes involve clarified coverage criteria and updated billing/coding sections.
Action Required
Immediately: Billing team must update billing software to include new CPT codes 81329, 81333, 81336, 81337, 81442, 81470, 81471 and PLA codes 0232U, 0230U, 0322U, 0334U, 0341U for genetic testing. Remove CPT codes 89290, 89291, and PLA code 0050U from system. Update prior authorization requirements for genetic testing per revised coverage criteria. Review coronavirus testing billing to ensure compliance with updated reimbursement restrictions for antibody serology testing.