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Blue Cross Blue Shield of North DakotaCommercial · Billing Codes · Medical Policy · ND · Neurosurgery, Orthopedics, Genetics +1 moreHigh impact

Medical Policy Updates for Migrated Members

Act
by Jan 1, 2027
Effective date
Jan 1, 2027
Identified
Oct 24, 2026

Summary

Blue Cross Blue Shield of North Dakota is updating medical policies for two procedures effective January 1, 2027: Cervical Spinal Fusion (Surgery #244) with 23 newly added CPT codes, and Fetal Red Blood Cell Antigen Genotyping (Genetic Testing #74) with one added HCPCS code. Billing teams must update their coding systems and verify prior authorization requirements for migrated commercial members on the updated Prior Authorization List.

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What to do

by Jan 1, 2027 · 6 steps
01Billing team must update billing software and fee schedules to recognize and process the 23 new CPT codes for Cervical Spinal Fusion (Surgery #244) and the HCPCS code 0536U for Fetal Red Blood Cell Antigen Genotyping (Genetic Testing #74).
02Verify the current Prior Authorization List on the BCBSND provider website to confirm which procedures require prior authorization.
03Update internal coding references and encounter forms to reflect these new procedure codes.
04Train billing and coding staff on the new codes to ensure accurate claim submission for BCBSND migrated commercial members.
05Contact Provider Service at 800-368-2312 if clarification is needed on authorization requirements.
06Inaction may result in claim denials for services billed with unrecognized codes or submitted without required prior authorization.

Codes mentioned

2093120937209382254822551225522255422585225902259522600226142284022842228432284422845228462284722849228532285422859

Original notice

Medical Policy Updates for Migrated Members
bcbsnd.com · Always check the source before changing claims.
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Related changes

See all Blue Cross Blue Shield of North Dakota changes →
Medical Policy Updates for Non-Migrated MembersHighNo effective date · Medical PolicyBrowse every Blue Cross Blue Shield of North Dakota change in the policy list

Related policy hubs

Blue Cross Blue Shield of North Dakota policiesND policy changesNeurosurgeryOrthopedicsGeneticsOB-GYNCode 20931Code 20937Code 20938Code 22548Code 22551Code 22552Code 22554Code 22585Code 22590Code 22595Code 22600Code 22614Code 22840Code 22842Code 22843Code 22844Code 22845Code 22846Code 22847Code 22849Code 22853Code 22854Code 22859

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