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Blue Cross NCCommercial · Billing Codes · Medical Policy · NC · Oncology, Neurology, Gastroenterology +4 moreHigh impact

Medical Policy Update for December 13, 2022

Act
immediately
Effective date
Dec 13, 2022
Identified
Jun 16, 2026

Summary

Blue Cross NC updated multiple medical policies effective December 13, 2022, with significant billing code changes across various testing and genetic services. Key changes include removal of codes like 83789, 81099, 86849, addition of new codes like 0289U, 0346U, and updated coverage criteria for genetic testing, infectious disease testing, and various diagnostic procedures.

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What to do

immediately · 3 steps
01Billing team must update billing system to remove deleted codes (83789, 81099, 86849, 86255, 86256, 19304, 87660, 87661, 87794, 86808) and add new codes (0289U, 0346U, 81177, 81186, 96040, 0231U, 0233U, 0236U, S0265, 87593) for proper claim processing.
02Update encounter forms and charge masters to reflect these code changes.
03Review and update coverage criteria for genetic testing, STI testing, and diagnostic procedures to ensure proper authorization and documentation requirements are met.

Codes mentioned

83789810998684986255862561930487660876618779486808811778118696040S026587593

Original notice

Medical Policy Update for December 13, 2022
bluecrossnc.com · Always check the source before changing claims.
View original ↗

Related changes

See all Blue Cross NC changes →
Medical Policy Update for May 30, 2023MediumEffective May 30, 2023 · Medical PolicyMedical Policy Update for February 21, 2024MediumEffective Feb 21, 2024 · Medical PolicyMedical Policy Update for May 15, 2024HighEffective May 15, 2024 · Medical PolicyMedical Policy Update for September 4, 2024MediumEffective Sep 4, 2024 · Medical PolicyBrowse every Blue Cross NC change in the policy list

Related policy hubs

Blue Cross NC policiesNC policy changesOncologyNeurologyGastroenterologyInfectious DiseaseOB-GYNFamily MedicineInternal MedicineCode 83789Code 81099Code 86849Code 86255Code 86256Code 19304Code 87660Code 87661Code 87794Code 86808Code 81177Code 81186Code 96040Code S0265Code 87593

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