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2026 February Medical Policy Updates

BlueCross BlueShield of South Carolina·SC · Radiology, Oncology, Dermatology +8 more·Medical Policy
Effective date
Feb 1, 2026
We identified it
Aug 20, 2026
Days to comply

Summary

BlueCross BlueShield of South Carolina and BlueChoice HealthPlan released February 2026 medical policy updates affecting 50+ policies. Most are annual reviews with no coverage intent changes but updated clinical evidence. Key changes include: Remote Electrical Neuromodulation for Migraines upgraded from investigational to medically necessary with criteria; CPT code corrections (0662T/0663T for chemotherapy-induced alopecia); new CPT code 87626 for cervical cancer screening; new virtual colonoscopy screening policy (CAM 402); and multiple imaging policies updated for clarity.

Action Required

Action needed
REQUIREMENTS: 1. IMMEDIATE - Billing Team: Update billing system to reflect CPT code corrections: - Replace deprecated codes 0062T and 0063T with corrected codes 0662T and 0663T for hypothermia to prevent/reduce hair loss during chemotherapy (CAM 152). Claims submitted with old codes will be denied. - Remove CPT 0500T from all cervical cancer screening claims (effective 01/01/2025 retroactive); replace with new CPT 87626 per CAM 094 and CAM 089. - Add new CPT 87494 for STI diagnostic testing per CAM 209 (effective 01/01/2026). 2. IMMEDIATE - Billing Team: Update imaging billing rules in system: - Remove CPT 71271 (lung cancer screening chest CT) from coverage rules per CAM 750 update; verify lung cancer screening is now billed under CAM 391 only. - For cerebral perfusion analysis CT (CAM 760): Delete CPT 0042T, add CPT 70473 to billing system. 3. BY MARCH 15, 2026 - Providers & Billing Team: Document medical necessity criteria for Remote Electrical Neuromodulation for Migraines (CAM 701171): - This procedure changed from investigational to medically necessary with specific criteria. - Update encounter templates and prior authorization workflows to capture required clinical documentation. - Implement prior auth requirement in billing system for this service; claims without documented criteria will be denied. 4. BY MARCH 15, 2026 - Billing Team: Activate new virtual colonoscopy screening policy (CAM 402): - Update billing software to recognize new screening colonoscopy code/indication separate from diagnostic colonoscopy (CAM 723). - Per CAM 723 update: diagnostic colonoscopy follow-up for 1-2 polyps 6-9mm now covered (previously not specified); update imaging indication rules. 5. ONGOING - Providers: Review updated imaging policies (CAM 700, 705, 713, 715, 749, 750, 754) for clarity changes that may affect documentation and prior auth submissions: - Multiple CT and CTA policies restructured for consistency; ensure clinical notes match updated indication categories. - Failure to align documentation with new policy categories may result in claim denials or rework. 6. Reference: Visit www.SouthCarolinaBlues.com and www.BlueChoiceSC.com for complete policy text before billing; incomplete implementation of these changes will result in claim processing delays and denials.

Affected Billing Codes

70473
71271
87626
87494
2026 February Medical Policy Updates | BlueCross BlueShield of South Carolina | PolicyChanges.app