CommercialBilling CodesMedium impact
Medical Policy Update for March 31, 2022
Blue Cross NC·NC · Pulmonology, Oncology, Plastic Surgery +2 more·Medical Policy
Effective date
Mar 31, 2022
We identified it
Jun 16, 2026
Summary
Blue Cross Blue Shield of North Carolina updated multiple medical policies effective March 31, 2022, with significant changes to Endobronchial Valves coverage criteria, General Genetic Testing requirements, and new billing codes for Skin and Soft Tissue Substitutes and Sleep Apnea devices.
Action Required
By March 31, 2022: Billing team must update system with new codes A2011, A2012, A2013, A4100, Q4224, Q4225, Q4256, Q4257, Q4258 for skin/tissue substitutes effective 4/1/2022, and codes K1028, K1029 for sleep apnea management. Remove code 81301 and replace with 0268U for genetic testing. Update prior authorization requirements for Endobronchial Valves to require provider attestation of pulmonary rehabilitation enrollment instead of completion, and new collateral ventilation assessment criteria.