CommercialBilling CodesMedium impact
2026 May Medical Policy Updates
BlueCross BlueShield of South Carolina·SC · Radiology, OB-GYN, Oncology +5 more·Medical Policy
Effective date
May 29, 2026
We identified it
Jun 20, 2026
Summary
BlueCross BlueShield of South Carolina updated 35 medical policies in May 2026, with key billing code changes for breast cancer screening and breastfeeding counseling, expanded coverage for lymphedema compression pumps, new salvage therapy coverage for prostate cancer, and introduction of a new Transcranial Magnetic Stimulation policy.
Action Required
Immediately: Billing team must update coding for breast cancer screening to use CPT codes 77062 and 77063. Replace CPT codes 99401 and 99402 with HCPCS code S9943 for breastfeeding counseling. Add new CPT codes E0658, E0678-E0683 for lymphedema compression pumps and code 0423U for pharmacogenetic testing. Remove deleted codes G6015 and G6016 from intensity-modulated radiotherapy billing. Review new CAM 404 Transcranial Magnetic Stimulation policy for coverage criteria.