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Medical Policy Update for September 13, 2022
Act
immediately
Effective date
Sep 13, 2022
Identified
Jun 16, 2026
Summary
Blue Cross NC updated 24 medical policies on September 13, 2022, with significant changes to genetic testing coverage criteria, billing code additions/removals, and new coverage for chromosomal microarray testing for CNS tumors. Key billing code changes include removal of CPT 81401, 81404, 81479, and 84540, plus addition of codes 82705 and S3708.
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What to do
immediately · 4 steps
01Billing team must update system to remove CPT codes 81401, 81404, 81479, 84540, and 87623 from covered services.
02Add new codes 82705 and S3708 to billing system.
03Update flow cytometry billing rules for CPT 88187-88189 to limit to 2 specimens per date of service and one unit per specimen, with no combination billing allowed.
04Review genetic testing authorization requirements for updated coverage criteria, especially chromosomal microarray testing which now covers CNS tumors but excludes co-testing with low-pass WGS.
Codes mentioned
8140181404814798454082705S370887623881878818888189
Original notice
Medical Policy Update for September 13, 2022
bluecrossnc.com · Always check the source before changing claims.
Related changes
See all Blue Cross NC changes →Medical Policy Update for May 16, 2023HighEffective May 16, 2023 · Medical PolicyMedical Policy Update for April 1, 2025MediumEffective Apr 1, 2025 · Medical PolicyMedical Policy Update for May 17, 2022HighEffective May 17, 2022 · Medical PolicyMedical Policy Update for December 30, 2022HighEffective Jan 1, 2023 · Medical PolicyBrowse every Blue Cross NC change in the policy list