Blue Cross NC policies, page 13

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
NCCI EditingCommercial—Original policy ↗
NCCI EditingMedicaid—Original policy ↗
NDC RequirementsCommercial—Original policy ↗
NDC Requirements8Original policy ↗
Nerve Fiber Density Testing AHS - M2112M2112 · Commercial9Original policy ↗
Nerve Fiber Density Testing AHS – M2112M2112 · Commercial8Original policy ↗
Neuropsychological Testing (Medical and Behavioral Health)Medicaid9Original policy ↗
Neuropsychological Testing (Medical and Behavioral Health) NotificationMedicaid9Original policy ↗
Neurostimulation, ElectricalCommercial51Original policy ↗
New Reimbursement Policy: New Genetic Tests: Once Per Lifetime (PDF)G-23002 · Medicaid—Original policy ↗
New Specialty Pharmacy Medical Step Therapy RequirementNCBCBS-CR-077567-25-CPN77133 · Effective Jun 1, 2025 · Medicaid—Original policy ↗
New Specialty Pharmacy Medical Step Therapy Requirements (July 1, 2025) (PDF)NCBCBS-CR-081299-25 CPN81191 · Medicaid—Original policy ↗
Non-Contact Ultrasound Treatment for WoundsCommercial2Original policy ↗
Non-Formulary Exception Criteria (PDF)Commercial—Original policy ↗
Non-Formulary Exception Criteria Medicare Part D—Original policy ↗
Non-Hospital Medical DetoxCommercial1Original policy ↗
Non-Pharmacologic Treatment of RosaceaCommercial16Original policy ↗
Noninvasive Respiratory Assist DevicesCommercial24Original policy ↗
Nonpayment for Serious Adverse EventsCommercial—Original policy ↗
Nonpayment for Serious Adverse EventsCommercial—Original policy ↗
Nonpayment For Serious Adverse Events—Original policy ↗
Nonpayment for Serious Adverse Events—Original policy ↗
North Carolina 2025 Medicare Advantage Plan Changes (PDF)NCBCBS-CR-069483-24-CPN69435 · Medicaid—Original policy ↗
Notice of Change: Part D Rx HCCs (PDF)NCBCBS-CR-072493-24-CPN72404 · Medicaid—Original policy ↗
Nucleic Acid TestingEffective Apr 3, 2026 · Commercial2Original policy ↗
Nucleic Acid TestingEffective Apr 3, 20262Original policy ↗
Nurse Practitioner and Physician Assistant ServicesG-20002 · Effective Nov 1, 2024 · Medicaid—Original policy ↗
Observation Room ServicesCommercial19Original policy ↗
Observation, FacilityCommercial3Original policy ↗
Observation, FacilityCommercial3Original policy ↗
Observation, FacilityCommercial3Original policy ↗
Observation, Facility3Original policy ↗
Ocaliva Prior Authorization (with Quantity Limit) Criteria - Medicare Part D—Original policy ↗
Occipital Nerve StimulationCommercial26Original policy ↗
Once In a LifetimeEffective Dec 31, 2022 · Commercial73Original policy ↗
Once in a LifetimeEffective Jun 1, 202269Original policy ↗
Oncologic Applications of Photodynamic Therapy, Including Barrett’s EsophagusCommercial3Original policy ↗
Oncologic Applications of Photodynamic Therapy, Including Barrett’s EsophagusCommercial3Original policy ↗
Oncologic Applications of Photodynamic Therapy, Including Barrett’s Esophagus "Notification"Commercial3Original policy ↗
Onychomycosis Testing AHS - M2172M2172 · Commercial16Original policy ↗
Opioid Testing in Pain Management and Substance Abuse AHS – T2015T2015 · Commercial8Original policy ↗
Opioid Treatment Program ReimbursementCommercial21Original policy ↗
Opioid Treatment Program ReimbursementCommercial17Original policy ↗
Opioid Treatment Program ReimbursementEffective Nov 1, 202321Original policy ↗
Opioids ER Prior Authorization (with Quantity Limit) Criteria - Medicare Part D—Original policy ↗
Optical Coherence Tomography (OCT) Anterior Segment of the EyeCommercial9Original policy ↗
Oral Cancer Screening and Testing AHS - G2113G2113 · Commercial11Original policy ↗
Oral Screening Lesion Identification Systems and Genetic Screening AHS – G2113G2113 · Commercial6Original policy ↗
Orexin Receptor Antagonist Prior Authorization (with Quantity Limit) Criteria - Medicare Part D—Original policy ↗
Orthodontics for Pediatric PatientsCommercial16Original 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.