CommercialBilling CodesHigh impact
2026 May Medical Policy Updates
BlueCross BlueShield of South Carolina·SC · OB-GYN, Oncology, Radiation Oncology +12 more·Medical Policy
Effective date
May 29, 2026
We identified it
Aug 20, 2026
Summary
BlueCross BlueShield of South Carolina and BlueChoice HealthPlan released 40 updated medical policies effective May 29, 2026. Most are routine annual reviews with no policy intent changes. Key billing updates include: new CPT codes 77062-77063 for breast cancer screening, replacement of CPT 99401-99402 with HCPCS S9943 for breastfeeding counseling, new compression pump CPT codes E0658/E0678-E0683 for lymphedema treatment, new CPT 0423U for pharmacogenetic testing, addition of HDR prostate brachytherapy as salvage therapy, new corneal collagen cross-linking products covered, and deletion of radiation therapy codes G6015-G6016.
Action Required
By June 15, 2026: Billing team must update coding systems with the following changes: (1) Replace CPT codes 99401-99402 with HCPCS code S9943 for all breastfeeding counseling claims to avoid denials; (2) Add new CPT codes 77062 and 77063 to breast cancer screening billing templates in EMR and billing software; (3) Add compression pump codes E0658, E0678, E0679, E0680, E0681, E0682, E0683 to equipment billing system with proper clinical indications documentation for lymphedema and venous ulcers; (4) Add pharmacogenetic CPT code 0423U to testing panels; (5) Remove codes G6015 and G6016 from IMRT abdomen/pelvis/chest billing rules to prevent claim rejections; (6) Update prostate cancer treatment protocols in billing system to allow HDR temporary brachytherapy as salvage therapy option with proper medical necessity coding. Providers should update documentation templates. Claims submitted with obsolete codes will be denied.