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Blue Cross NCCommercial · Billing Codes · Medical Policy · NC · Allergy & Immunology, Cardiology, Gastroenterology +6 moreHigh impact

Medical Policy Update for May 17, 2022

Act
immediately
Effective date
May 17, 2022
Identified
Jun 16, 2026

Summary

Blue Cross NC updated multiple medical policies with expanded coverage criteria, new billing codes, and revised documentation requirements across various specialties including genetic testing, allergen testing, cardiovascular risk assessment, and several other diagnostic areas.

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What to do

immediately · 3 steps
01Billing team must update coding systems to remove deleted codes (83520, 88348, 88199, 0097U, 0151U) and add new codes (0312U, 0308U, 0309U, 0022U, 0018M, 0316U, 0238U, 81120, 81121, 81236, 81237, 81348, 81479, 0321U).
02Update prior authorization requirements for genetic testing panels and ensure documentation meets revised coverage criteria for allergen testing, cardiovascular risk assessment, and other affected policies.
03Review encounter forms and billing software rules for all affected specialties.

Codes mentioned

835208834888199811208112181236812378134881479

Original notice

Medical Policy Update for May 17, 2022
bluecrossnc.com · Always check the source before changing claims.
View original ↗

Related changes

See all Blue Cross NC changes →
Medical Policy Update for September 13, 2022HighEffective Sep 13, 2022 · Medical PolicyMedical Policy Update for December 30, 2022HighEffective Jan 1, 2023 · Medical PolicyMedical Policy Update for May 16, 2023HighEffective May 16, 2023 · Medical PolicyMedical Policy Update for December 5, 2023MediumEffective Dec 5, 2023 · Medical PolicyBrowse every Blue Cross NC change in the policy list

Related policy hubs

Blue Cross NC policiesNC policy changesAllergy & ImmunologyCardiologyGastroenterologyOncologyHematologyDermatologyOB-GYNInfectious DiseasePathologyCode 83520Code 88348Code 88199Code 81120Code 81121Code 81236Code 81237Code 81348Code 81479

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