Blue Cross NC policy
Bioengineered Skin and Soft Tissue Substitute for Breast Reconstruction, Epidermolysis Bullosa Dystrophica (EBD), and Severe Burns
Bioengineered Skin and Soft Tissue Substitute for Breast Reconstruction, Epidermolysis Bullosa Dystrophica (EBD), and Severe Burns is a public Blue Cross NC policy (effective Aug 21, 2025). It lists 7 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Payer
- Blue Cross NC
- Effective
- Aug 21, 2025
- Source
- www.bcbsnc.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes. Open official prior authorization lists to check the member’s product.
| Code | Other Blue Cross NC policies |
|---|---|
| Q4100 | Policies naming Q4100 |
| Q4104 | Policies naming Q4104 |
| Q4107 | Policies naming Q4107 |
| Q4116 | Policies naming Q4116 |
| Q4122 | Policies naming Q4122 |
| Q4128 | Policies naming Q4128 |
| Q4182 | Policies naming Q4182 |
All Blue Cross NC policies · Blue Cross NC prior authorization CPT list