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Medical Policy Updates
Blue Cross Blue Shield of North Dakota·ND·Medical Policy
Effective date
Jun 18, 2026
We identified it
Jun 23, 2026
Summary
Blue Cross Blue Shield of North Dakota released comprehensive medical policy updates effective June 18, 2026, including new policies for procedures like vagus nerve stimulation and transcatheter aortic valve implantation, revised criteria for multiple existing policies, and extensive billing code additions and removals across various specialties.
Action Required
Immediately: Billing team must update coding systems to reflect all new and revised procedure codes, remove terminated codes from billing software, and update prior authorization requirements for new policies including vagus nerve stimulation, restorative neurostimulation for low back pain, and other new covered procedures. Review and update encounter forms to include new CPT codes for prophylactic mastectomy (19301-19307) and corresponding diagnosis codes. Verify that experimental/investigational procedures are flagged appropriately in billing system to prevent claim submissions.