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BlueCross BlueShield of South CarolinaAll Plans · Billing Codes · Medical Policy · SC · Pathology, Genetics, Oncology +5 moreMedium impact

2025 May Medical Policy Updates

Effective date
Jul 1, 2025
Identified
Aug 11, 2026

Summary

Effective 07/01/2025, codes 0552U, 0553U, 0554U and 0555U are added to Preimplantation Genetic Testing (CAM 110), code 0572U is added to Gene Expression Profiling and Protein Biomarkers for Prostate Cancer (CAM 241), and code 0570U is added to Serum Testing for Evidence of Mild Traumatic Brain Injury (CAM 192). Pathogen Panel Testing (CAM 181) deletes codes 0240U, 0241U, 0369U, 0370U, 0373U and 0374U and adds codes 0556U, 0563U and 0564U, also effective 07/01/2025. Salivary Hormone Testing (CAM 527) removes CPT 82626, 82627, 82670, 82671, 82672, 82677, 82679, 82681, 84144, 84402, 84403 and 84410, and other updated policies add or remove CPT codes such as 81210, 92650, 92651 and 93701.

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What to do

Action · 4 steps
01Already effective 07/01/2025: Use the added codes 0552U, 0553U, 0554U, 0555U, 0572U, 0570U, 0556U, 0563U and 0564U in the updated coding sections, and stop using the deleted codes 0240U, 0241U, 0369U, 0370U, 0373U and 0374U.
02The code 0089U verbiage is revised on the same date.
03Stop billing CPT 82626, 82627, 82670, 82671, 82672, 82677, 82679, 82681, 84144, 84402, 84403 and 84410 under the Salivary Hormone Testing policy, CPT 0380U under the Pharmacogenetic Testing policy, CPT 0356U under the Liquid Biopsy policy, and CPT 87592 under the Prenatal Screening (Nongenetic) policy, because those policies remove them.
04The updated policies also add CPT 81210 (CAM 242), CPT 92650 and 92651 (CAM 089) and CPT 93701 (CAM 20224).

Codes mentioned

826268262782670826718267282677826798268184144844028440384410875928121092650926519370127278

Original notice

2025 May Medical Policy Updates
southcarolinablues.com · Always check the source before changing claims.
View original ↗

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