CommercialBilling CodesHigh impact
Medical Policy Update for May 17, 2022
Blue Cross NC·NC · Allergy & Immunology, Cardiology, Gastroenterology +6 more·Medical Policy
Effective date
May 17, 2022
We identified it
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.
Action Required
Immediately: Billing 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). Update prior authorization requirements for genetic testing panels and ensure documentation meets revised coverage criteria for allergen testing, cardiovascular risk assessment, and other affected policies. Review encounter forms and billing software rules for all affected specialties.