CommercialBilling CodesMedium impact
Medical Policy Update for June 30, 2022
Blue Cross NC·NC · Gastroenterology, General Surgery, Oncology +1 more·Medical Policy
Effective date
Jun 30, 2022
We identified it
Jun 16, 2026
Summary
Blue Cross Blue Shield North Carolina updated multiple medical policies on June 30, 2022, including bariatric surgery terminology changes, new billing codes for genetic testing and pathogen panels, and coverage updates for therapeutic radiopharmaceuticals. Most changes involve updated CPT codes and policy formatting with no changes to coverage intent.
Action Required
Effective June 30, 2022: Billing teams must update systems to use CPT 43659 for One Anastomosis Gastric Bypass (OAGB) procedures instead of mini gastric bypass terminology. Add new PLA codes (0269U-0329U) to billing systems for genetic testing, pathogen panels, and drug testing. Update bariatric surgery documentation to reflect new OAGB terminology and coverage criteria.