Blue Cross NC policies, page 11

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
Laboratory Procedures Medical Policy AHS - R2162 NotificationAHS - R2162 · Commercial95Original policy ↗
Laboratory Procedures Reimbursement Policy AHS - R2162R2162 · Commercial7Original policy ↗
Laboratory Testing for the Diagnosis of Inflammatory Bowel Disease AHS – G2121G2121 · Effective Oct 1, 2025 · Commercial18Original policy ↗
Laser Treatment of Port Wine StainsCommercial3Original policy ↗
Leadless Cardiac PacemakersCommercial22Original policy ↗
Liquid Biopsy AHS - G2054G2054 · Commercial95Original policy ↗
Liquid Biopsy AHS - G2054 NotificationG2054 · Commercial92Original policy ↗
Liver Transplant and Combined Liver-Kidney TransplantCommercial13Original policy ↗
Lung and Lobar Lung TransplantationCommercial10Original policy ↗
Lung Volume Reduction SurgerySUR6450 · Commercial7Original policy ↗
Lyme Disease AHS – G2143G2143 · Commercial5Original policy ↗
Lyme Disease Testing AHS – G2143G2143 · Commercial11Original policy ↗
Lynch Syndrome AHS - M2004M2004 · Commercial28Original policy ↗
Lynch Syndrome AHS-M2004AHS-M2004 · Commercial22Original policy ↗
Magnetic Esophageal Sphincter Augmentation to Treat Gastroesophageal Reflux Disease (GERD)Commercial6Original policy ↗
Magnetic Resonance SpectroscopyCommercial5Original policy ↗
Marfan Syndrome AHS – M2144M2144 · Commercial4Original policy ↗
Maternal and Fetal DiagnosticsCommercial43Original policy ↗
Maternity ServicesG-14001 · Effective Jul 7, 2023 · Medicaid—Original policy ↗
Maximum Units of ServiceCommercial14Original policy ↗
Maximum Units of ServiceCommercial11Original policy ↗
Maximum Units of Service4Original policy ↗
Maximum Units of Services4Original policy ↗
Maximum Units Per DayG-15003 · Effective Jun 16, 2021 · Medicaid—Original policy ↗
MCG Care Guidelines 29th Edition (PDF)NCBCBS-CR-074770-24-CPN74543 · Medicaid—Original policy ↗
Measurement of Thromboxane Metabolites for ASA Resistence AHS – G2107G2107 · Commercial2Original policy ↗
Medical NecessityADM9066 · Commercial—Original policy ↗
Medical Policies and Clinical Utilization Management Guidelines Update Effective August 5, 2025 (PDF)NCBCBS-CR-082355-25-CPN81285 · Medicaid—Original policy ↗
Medical Policies and Clinical Utilization Management Guidelines Update Effective December 10, 2024 (PDF)NCBCBS-CR-066596-24-CPN65660 · Medicaid—Original policy ↗
Medical Policies and Clinical Utilization Management Guidelines Update Effective December 30, 2025NCBCBS-CR-093210-25-CPN91755 · Effective Dec 30, 2025 · Medicaid—Original policy ↗
Medical Policies and Clinical Utilization Management Guidelines Update Effective February 13, 2025 (PDF)NCBCBS-CR-068813-24-CPN68231 · Medicaid—Original policy ↗
Medical Policies and Clinical Utilization Management Guidelines Update Effective June 15, 2025NCBCBS-CR-075677-24-CPN74692 · Effective Jun 15, 2025 · Medicaid—Original policy ↗
Medical Policies and Clinical Utilization Management Guidelines Update Effective October 24, 2025NCBCBS-CR-086937-25-CPN86781 · Effective Oct 24, 2025 · Medicaid—Original policy ↗
Medical Policy and Clinical Utilization Management Guidelines Website InstructionsNCBCBS-CR-062341-24 · Medicaid—Original policy ↗
Medical RecallsG-06111 · Effective May 22, 2024 · Medicaid—Original policy ↗
Medicare Part B Preapproval Expands with New Drug Additions (PDF)NCBCBS-CR-077635-25-CPN77426 · Medicaid6Original policy ↗
Medicare Part D Overhaul: What's New in 2025 for Your Prescription Drug Costs?NCBCBS-CR-067656-24-CPN65205 · Medicaid—Original policy ↗
Medicare Risk Adjustment Provider Documentation and Coding GuideNCBCBS-CR-067436-24-CPN67091 · Medicaid—Original policy ↗
Medication Adherence 2025NCBCBS-CR-075445-24-CPN74721 · Medicaid—Original policy ↗
Medication Safety: Reducing Risks with Thoughtful Prescribing and Monitoring (PDF)NCBCBS-CR-090794-25-CPN89217 · Medicaid—Original policy ↗
Mental Health Outpatient Treatment Report FormBNCCARE-0079-20 · Medicaid—Original policy ↗
Metabolite Markers of Thiopurines AHS – G2115G2115 · Commercial4Original policy ↗
Micronutrient Testing AHS – G2099G2099 · Commercial26Original policy ↗
Microprocessor-Controlled Prostheses for the Lower LimbCommercial17Original policy ↗
Microprocessor-Controlled Prostheses for the Lower Limb NotificationCommercial17Original policy ↗
Microsatellite Instability and Tumor Mutational Burden Testing AHS - M2178AHS-M2178 · Commercial53Original policy ↗
Minimal Residual Disease (MRD) AHS - M2175M2175 · Commercial21Original policy ↗
Modifier 22G-07020 · Effective Sep 6, 2024 · Medicaid—Original policy ↗
Modifier 24G-06011 · Effective Jun 11, 2025 · Medicaid—Original policy ↗
Modifier 63G-06015 · Effective Jan 1, 2021 · Medicaid—Original 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.