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Medical Policy Update for June 14, 2022

Blue Cross NC·NC · Neurosurgery, Orthopedics, Pain Management +5 more·Medical Policy
Effective date
Jul 1, 2022
We identified it
Jun 16, 2026
Days to comply

Summary

Blue Cross NC updated multiple medical policies with new CPT codes, coding changes, and policy guideline revisions across various specialties. Key changes include new CPT codes 0736T and 0720T effective July 1, 2022, removal of obsolete ICD-9 codes, and updated coverage criteria for several procedures.

Action Required

Action needed
By July 1, 2022: Billing team must update billing system to include new CPT codes 0736T (Complementary and Alternative Medicine) and 0720T (Neurostimulation/PENS procedures). Remove obsolete codes C9752 and C9753 from spinal radiofrequency procedures. Add new skin substitute codes Q4259, Q4260, Q4261. Update sacroiliac joint fusion billing to include transiliac placement criteria. Remove ICD-9 codes from liver radioembolization procedures as they are no longer valid.

Affected Billing Codes

C9752
C9753
Q4259
Q4260
Q4261
Medical Policy Update for June 14, 2022 | Blue Cross NC | PolicyChanges.app