Blue Cross NC policy

Prior Authorization Requirement Changes Effective July 1, 2025 (Additional changes) (PDF)

Prior Authorization Requirement Changes Effective July 1, 2025 (Additional changes) (PDF) is a public Blue Cross NC policy (policy NCBCBS-CR-077743-25-CPN77344). It lists 147 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

View the original policy (PDF) ↗

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Payer
Blue Cross NC
Policy number
NCBCBS-CR-077743-25-CPN77344
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.

CodeOther Blue Cross NC policies
15150Policies naming 15150
15155Policies naming 15155
15271Policies naming 15271
15273Policies naming 15273
15275Policies naming 15275
15277Policies naming 15277
31574Policies naming 31574
46707Policies naming 46707
65778Policies naming 65778
65779Policies naming 65779
65780Policies naming 65780
A2001Policies naming A2001
A2002Policies naming A2002
A2004Policies naming A2004
A2005Policies naming A2005
A2006Policies naming A2006
A2007Policies naming A2007
A2008Policies naming A2008
A2009Policies naming A2009
A2010Policies naming A2010
A2011Policies naming A2011
A2012Policies naming A2012
A2013Policies naming A2013
A2014Policies naming A2014
A2015Policies naming A2015
A2016Policies naming A2016
A2017Policies naming A2017
A2018Policies naming A2018
A2022Policies naming A2022
A2023Policies naming A2023
A2024Policies naming A2024
A2025Policies naming A2025
A2027Policies naming A2027
A2028Policies naming A2028
A2029Policies naming A2029
C1832Policies naming C1832
C5271Policies naming C5271
C5273Policies naming C5273
C5275Policies naming C5275
C5277Policies naming C5277
C9352Policies naming C9352
C9353Policies naming C9353
C9354Policies naming C9354
C9355Policies naming C9355
C9356Policies naming C9356
C9358Policies naming C9358
C9361Policies naming C9361
C9363Policies naming C9363
C9364Policies naming C9364
Q4101Policies naming Q4101
Q4102Policies naming Q4102
Q4103Policies naming Q4103
Q4104Policies naming Q4104
Q4105Policies naming Q4105
Q4106Policies naming Q4106
Q4107Policies naming Q4107
Q4108Policies naming Q4108
Q4110Policies naming Q4110
Q4111Policies naming Q4111
Q4112Policies naming Q4112
Q4113Policies naming Q4113
Q4114Policies naming Q4114
Q4115Policies naming Q4115
Q4116Policies naming Q4116
Q4117Policies naming Q4117
Q4118Policies naming Q4118
Q4121Policies naming Q4121
Q4122Policies naming Q4122
Q4124Policies naming Q4124
Q4125Policies naming Q4125
Q4128Policies naming Q4128
Q4130Policies naming Q4130
Q4132Policies naming Q4132
Q4133Policies naming Q4133
Q4134Policies naming Q4134
Q4136Policies naming Q4136
Q4137Policies naming Q4137
Q4138Policies naming Q4138
Q4139Policies naming Q4139
Q4140Policies naming Q4140
Q4141Policies naming Q4141
Q4142Policies naming Q4142
Q4143Policies naming Q4143
Q4145Policies naming Q4145
Q4146Policies naming Q4146
Q4147Policies naming Q4147
Q4148Policies naming Q4148
Q4149Policies naming Q4149
Q4150Policies naming Q4150
Q4151Policies naming Q4151
Q4152Policies naming Q4152
Q4153Policies naming Q4153
Q4154Policies naming Q4154
Q4155Policies naming Q4155
Q4156Policies naming Q4156
Q4157Policies naming Q4157
Q4158Policies naming Q4158
Q4159Policies naming Q4159
Q4160Policies naming Q4160
Q4161Policies naming Q4161
Q4162Policies naming Q4162
Q4163Policies naming Q4163
Q4164Policies naming Q4164
Q4165Policies naming Q4165
Q4166Policies naming Q4166
Q4167Policies naming Q4167
Q4168Policies naming Q4168
Q4169Policies naming Q4169
Q4170Policies naming Q4170
Q4171Policies naming Q4171
Q4173Policies naming Q4173
Q4174Policies naming Q4174
Q4175Policies naming Q4175
Q4176Policies naming Q4176
Q4177Policies naming Q4177
Q4178Policies naming Q4178
Q4179Policies naming Q4179
Q4180Policies naming Q4180
Q4181Policies naming Q4181
Q4185Policies naming Q4185
Q4186Policies naming Q4186
Q4187Policies naming Q4187
Q4188Policies naming Q4188
Q4192Policies naming Q4192
Q4195Policies naming Q4195
Q4196Policies naming Q4196
Q4197Policies naming Q4197
Q4199Policies naming Q4199
Q4201Policies naming Q4201
Q4203Policies naming Q4203
Q4205Policies naming Q4205
Q4213Policies naming Q4213
Q4222Policies naming Q4222
Q4239Policies naming Q4239
Q4246Policies naming Q4246
Q4248Policies naming Q4248
Q4250Policies naming Q4250
Q4251Policies naming Q4251
Q4252Policies naming Q4252
Q4253Policies naming Q4253
Q4259Policies naming Q4259
Q4261Policies naming Q4261
Q4262Policies naming Q4262
Q4264Policies naming Q4264
Q4285Policies naming Q4285
Q4286Policies naming Q4286
V2790Policies naming V2790

All Blue Cross NC policies · Blue Cross NC prior authorization CPT list

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.