Summary
BlueCross BlueShield of South Carolina and BlueChoice HealthPlan updated several medical policies in December 2025, mostly to add or delete CPT and Category III codes effective January 1, 2026. The coverage changes add criteria for leadless pacemakers (CAM 20232) and remove codes from the telehealth policy (CAM 176), and most other updates are annual reviews with no change in policy intent.
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What to do
Action · 6 steps
01Historical material (the bulletin is dated 2025-12-29, and the coding changes took effect January 1, 2026, so they are already in effect): Charge entry and billing staff should confirm that the codes the bulletin deletes (0508U, 0509U, 0544U, 0551U, 0596U, 0033U, 0550U, 0720T, 0275T, 0266T through 0273T) have been removed from charge entry, and that the codes the telehealth policy removed (92523, 97161, 97164, 97165, 97168) are no longer used for telehealth claims.
02Charge entry and billing staff should also add the newly listed codes (0603U, 0600U, 0610U, 0963T, 0795T through 0804T, 0609U, 0613U, 0611U, 0612U, 64567, 64654 through 64659, 93145, 93146, 55877) and update the descriptions for the revised codes (0365U, 0565U, 0537U), and should bill them only where the cited BCBS SC policy's criteria are documented.
03Before relying on any of these policies, check the current version on the BCBS SC medical policy site, because this bulletin is historical.
04Cardiology staff should review the leadless pacemaker criteria (CAM 20232) and the baroflex stimulation codes (CAM 80157).
05Therapy staff should review the telehealth change (CAM 176).
06Other annual reviews in the bulletin, with no change in policy intent, need no billing change.
Codes mentioned
925239716197164971659716864567646546465564656646576465864659931459314655877
Original notice
2025 December Medical Policy Updates
southcarolinablues.com · Always check the source before changing claims.
Related changes
See all BlueCross BlueShield of South Carolina changes →2026 June Medical Policy UpdatesMediumNo effective date · Medical Policy2026 July Medical Policy UpdatesHighEffective Jul 1, 2026 · Medical Policy2025 January Medical Policy UpdatesLowEffective Jan 1, 2025 · Medical Policy2025 March Medical Policy UpdatesMediumEffective Apr 1, 2025 · Medical PolicyBrowse every BlueCross BlueShield of South Carolina change in the policy list
Related policy hubs
BlueCross BlueShield of South Carolina policiesSC policy changesCardiologyOncologyGeneticsPathologyNeurologyUrologyNeurosurgeryOrthopedicsGastroenterologyPhysical TherapyOccupational TherapySpeech TherapyCode 92523Code 97161Code 97164Code 97165Code 97168Code 64567Code 64654Code 64655Code 64656Code 64657Code 64658Code 64659Code 93145Code 93146Code 55877