Blue Cross NC policy
Precertification/Prior Authorization Requirement Changes Effective December 1, 2025
Precertification/Prior Authorization Requirement Changes Effective December 1, 2025 is a public Blue Cross NC policy (policy NCBCBS-CR-089335-25-CPN88807, effective Dec 1, 2025). It lists 20 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
Check eligibility for free
No account required. Sign a BAA to see plan details, coordination of benefits and more
- Payer
- Blue Cross NC
- Policy number
- NCBCBS-CR-089335-25-CPN88807
- Effective
- Dec 1, 2025
- Line of business
- Medicaid
- 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 |
|---|---|
| 0440T | Policies naming 0440T |
| 0441T | Policies naming 0441T |
| 0442T | Policies naming 0442T |
| 0531U | Policies naming 0531U |
| 0535U | Policies naming 0535U |
| 0547U | Policies naming 0547U |
| 0550U | Policies naming 0550U |
| 0551U | Policies naming 0551U |
| 0744T | Policies naming 0744T |
| A2030 | Policies naming A2030 |
| A2031 | Policies naming A2031 |
| A2032 | Policies naming A2032 |
| A2033 | Policies naming A2033 |
| A2034 | Policies naming A2034 |
| A2035 | Policies naming A2035 |
| A4100 | Policies naming A4100 |
| A4545 | Policies naming A4545 |
| C1763 | Policies naming C1763 |
| E0736 | Policies naming E0736 |
| L5827 | Policies naming L5827 |
All Blue Cross NC policies · Blue Cross NC prior authorization CPT list