CommercialDocumentationMedium impact
Medical Policy Update for March 22, 2022
Blue Cross NC·NC · Ophthalmology, Plastic Surgery·Medical Policy
Effective date
Mar 22, 2022
We identified it
Jun 16, 2026
Summary
Blue Cross Blue Shield of North Carolina updated three medical policies effective March 22, 2022: added references to Hematopoietic Cell Transplantation policy, clarified documentation requirements for Reconstructive Eyelid Surgery including specific photo requirements for dermatochalasis with lid ptosis, and made minor typographical edits to Sleep Apnea policy.
Action Required
Immediately: For Reconstructive Eyelid Surgery claims with documented dermatochalasis and true lid ptosis, ensure additional photos are taken with upper lid skin retracted to show actual position of true lid margin. Update documentation checklists and inform providers of enhanced photo requirements for blepharoplasty coverage determinations.