Blue Cross NC policies

Search Blue Cross NC's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

1,022 public policies Substrate tracks for Blue Cross NC, by title.

Blue Cross NC policies
PolicyDetailsCodesSource
2024 Affordable Care Act (ACA) Preventive Drug List (PDF)6756-A · Commercial—Original policy ↗
2025 Affordable Care Act (ACA) Preventive Drug List (PDF)6756-A · Commercial—Original policy ↗
2025 Health Savings Account (HSA) Preventive Drug List3160NR-F · Effective Jan 1, 2025 · Commercial—Original policy ↗
2026 Affordable Care Act (ACA) Preventive Drug List (PDF)6756-A · Commercial—Original policy ↗
A Quick Guide to Understanding JW and JZ Modifiers (PDF)NCBCBS-CR-086195-25-CPN85830 · Medicaid—Original policy ↗
Abdominoplasty and PanniculectomyCommercial6Original policy ↗
Ablation and Neural Therapy Procedures for Headache and Pain ManagementCommercial12Original policy ↗
Ablative Techniques for the Myolysis of Uterine FibroidsCommercial4Original policy ↗
Abortion (Termination of Pregnancy)G-06057 · Effective Nov 4, 2024 · Medicaid—Original policy ↗
Absorbable Nasal Implant for Treatment of Nasal Valve CollapseCommercial3Original policy ↗
ACCESS TO CARE STANDARDS FOR OFF-EXCHANGE MEMBERS IN ALL PRODUCTS IN ALL LINES OF BUSINESS - EXCLUDING MEDICARE AND MEDICAID DRIVING DISTANCE TO PROVIDERSBE 9 · Commercial—Original policy ↗
Adaptive Behavioral Treatment for Autism Spectrum DisordersCommercial24Original policy ↗
Adaptive Behavioral Treatment for Autism Spectrum Disorders NotificationCommercial24Original policy ↗
Adaptive Behavioral Treatment for Autism Spectrum Disorders NotificationCommercial24Original policy ↗
Add-On CodesCommercial—Original policy ↗
Add-On CodesMedicaid—Original policy ↗
Add-on Codes—Original policy ↗
Addressing Medication Adherence Gaps (PDF)NCBCBS-CR-058767-24-CPN58567 · Medicaid—Original policy ↗
Advanced Illness / Advance DirectivesCommercial3Original policy ↗
Allergen Testing AHS – G2031G2031 · Commercial18Original policy ↗
Allergen Testing AHS – G2031 NotificationG2031 · Commercial20Original policy ↗
Allergy Immunotherapy (Desensitization)Commercial24Original policy ↗
Allergy Skin and Challenge TestingCommercial32Original policy ↗
Ambulance and Medical Transport ServicesCommercial51Original policy ↗
Ambulance and Medical Transport ServicesMedicaid21Original policy ↗
Ambulance ReimbursementCommercial—Original policy ↗
Ambulance Reimbursement PolicyCommercial—Original policy ↗
Ambulance Reimbursement Policy—Original policy ↗
Ambulatory Event MonitorsCommercial33Original policy ↗
Ambulatory Event Monitors and Outpatient Cardiac TelemetryCommercial51Original policy ↗
Ambulatory Surgical Center (ASC) ReimbursementCommercial2Original policy ↗
Amniotic Membrane and Amniotic Fluid Injections for Ophthalmic IndicationsCommercial29Original policy ↗
ANA/ENA Testing AHS – G2022G2022 · Commercial7Original policy ↗
Anesthesia ServicesCommercial—Original policy ↗
Anesthesia Services Supplement (PDF)Commercial—Original policy ↗
Anesthesia Services, Professional2Original policy ↗
Anesthesia Services, Professional And FacilityCommercial2Original policy ↗
Anesthesia Services, Professional And FacilityCommercial2Original policy ↗
Anesthesia Services, Professional And FacilityCommercial2Original policy ↗
Anesthesia Services, Professional NotificationCommercial2Original policy ↗
Annual Preventive Visit Quick-View ResourcesCommercial, Medicaid10Original policy ↗
Annual Preventive Visit TypesCommercial20Original policy ↗
Appropriateness Guidelines: Effective October 20, 2025 (PDF)NCBCBS-CR-056307-24-CPN54675 · Medicaid—Original policy ↗
Aqueous Shunts and Devices for GlaucomaCommercial26Original policy ↗
Artificial Pancreas Device SystemsCommercial10Original policy ↗
Automated Percutaneous and Endoscopic DiscectomyCommercial7Original policy ↗
Autonomic Nervous System TestingCommercial4Original policy ↗
Balloon Dilation of the Eustachian TubeCommercial4Original policy ↗
Balloon Ostial Dilation (Balloon Sinuplasty)Commercial4Original policy ↗
Bariatric SurgeryCommercial42Original policy ↗

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Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.