CommercialBilling CodesHigh impact
Medical Policy Update for December 13, 2022
Blue Cross NC·NC · Oncology, Neurology, Gastroenterology +4 more·Medical Policy
Effective date
Dec 13, 2022
We identified it
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.
Action Required
Immediately: Billing 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. Update encounter forms and charge masters to reflect these code changes. Review and update coverage criteria for genetic testing, STI testing, and diagnostic procedures to ensure proper authorization and documentation requirements are met.