CommercialBilling CodesMedium impact
Medical Policy Update for October 18, 2022
Blue Cross NC·NC · Physical Therapy, Occupational Therapy, OB-GYN +2 more·Medical Policy
Effective date
Oct 18, 2022
We identified it
Jun 16, 2026
Summary
Blue Cross and Blue Shield of North Carolina updated multiple medical policies effective October 18, 2022, including new policies for genetic cardiovascular risk markers (not covered) and prenatal genetic screening (covered when criteria met), plus billing code changes for rehabilitative therapies and pressure reducing support surfaces.
Action Required
By October 18, 2022: Billing team must update system to replace CPT code 97127 with new codes 97129 and 97130 for rehabilitative therapies. Add HCPCS code E0183 for pressure reducing support surfaces effective October 1, 2022. Review new genetic cardiovascular risk marker policy (AHS M2180) as these services are not covered. Update prior authorization requirements for new prenatal genetic screening policy when medical criteria are met.