Blue Cross NC policies, page 14

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
Orthognathic SurgeryCommercial30Original policy ↗
Orthognathic Surgery29Original policy ↗
Orthopedic Applications of Stem Cell TherapyCommercial60Original policy ↗
OrthoticsCommercial117Original policy ↗
Orthotics “Notification”Commercial99Original policy ↗
Oscillatory Devices for the Treatment of Respiratory ConditionsCommercial12Original policy ↗
Otezla Prior Authorization Criteria - Medicare Part D—Original policy ↗
Other Significant Endocrine and Metabolic Disorders Documentation and Coding (PDF)Commercial—Original policy ↗
Outpatient Code Editor (OCE) EditsEffective Dec 30, 2015 · Commercial2Original policy ↗
Outpatient Code Editor (OCE) EditsEffective Jun 1, 2022 · Medicaid—Original policy ↗
Ovarian and Internal Iliac Vein Embolization, Ablation and SclerotherapyCommercial12Original policy ↗
OveruseEffective Jun 18, 2023 · Commercial—Original policy ↗
Pancreas TransplantCommercial11Original policy ↗
Pancreatic Cancer Risk Testing Using Molecular Classifier in Pancreatic Cyst Fluid AHS-M2114AHS-M2114 · Commercial2Original policy ↗
Pancreatic Cancer Risk Testing Using Pancreatic Cyst Fluid AHS - M2114M2114 · Commercial10Original policy ↗
Pancreatic Enzyme Testing for Acute Pancreatitis AHS – G2153G2153 · Commercial8Original policy ↗
Pancreatic Enzyme Testing for Acute Pancreatitis AHS – G2153G2153 · Commercial7Original policy ↗
Pancreatic Enzyme Testing for Acute Pancreatitis AHS – G2153 "Notification"G2153 · Commercial7Original policy ↗
Panretin Gel Prior Authorization Criteria - Medicare Part D—Original policy ↗
Parathyroid Hormone, Phosphorus, Calcium, and Magnesium Testing AHS - G2164G2164 · Commercial7Original policy ↗
Parathyroid Hormone, Phosphorus, Calcium, and Magnesium Testing AHS - G2164 NotificationG2164 · Commercial7Original policy ↗
Partial Hospitalization and Intensive Outpatient Programs2Original policy ↗
Pathogen Panel Testing AHS – G2149G2149 · Commercial58Original policy ↗
Pathogen Panel Testing AHS – G2149G2149 · Commercial86Original policy ↗
Pathogen Panel Testing AHS – G2149 NotificationG2149 · Commercial89Original policy ↗
Patient LiftsCommercial17Original policy ↗
Patient-Specific Instrumentation (e.g., Cutting Guides) for Joint ArthroplastyCommercial3Original policy ↗
Payer ID and FEP Claims Filing Supplement (PDF)Commercial—Original policy ↗
Pediatric Condition Coding Resource Sheet (Including Asthma)Commercial—Original policy ↗
Pelvic Floor Stimulation as a Treatment of Urinary and Fecal IncontinenceCommercial28Original policy ↗
Penile ProsthesisCommercial12Original policy ↗
Penile ProsthesisCommercial12Original policy ↗
Percutaneous Electrical Nerve Stimulation (PENS), Percutaneous Neuromodulation Therapy, Restorative Neurostimulation Therapy, and Percutaneous Electrical Nerve Field Stimulation (PENFS)Commercial16Original policy ↗
Percutaneous Left Atrial Appendage Closure Device for Stroke PreventionCommercial5Original policy ↗
Percutaneous Tibial Nerve Stimulation for Voiding DysfunctionCommercial6Original policy ↗
Peripheral Nerve Stimulation and Peripheral Nerve Field Stimulation25Original policy ↗
Perirectal Spacer Use During Radiotherapy for Prostate CancerCommercial1Original policy ↗
Perirectal Spacer Use During Radiotherapy for Prostate CancerCommercial1Original policy ↗
Peroral Endoscopic Myotomy for Treatment of Esophageal AchalasiaCommercial1Original policy ↗
Personalized Match UpdateNCBCBS-CR-052328-24-CPN52048 · Medicaid—Original policy ↗
Pharmacogenetics Testing AHS - M2021M2021 · Commercial89Original policy ↗
Pharmacogenetics Testing AHS – M2021M2021 · Commercial22Original policy ↗
Pharmacogenomics and Metabolite Markers for Thiopurines AHS – G2115G2115 · Commercial3Original policy ↗
Pharmacotherapy Management of COPD Exacerbation (PCE) 2025NCBCBS-CR-068003-24-CPN67346 · Medicaid—Original policy ↗
Phishing Scam Alert - Impersonating CMS (PDF)NCBCBS-CR-087115-25-CPN87058 · Medicaid—Original policy ↗
Phrenic Nerve Stimulation for Central Sleep ApneaCommercial29Original policy ↗
Place of ServiceCommercial—Original policy ↗
Place of ServiceCommercial—Original policy ↗
Place of Service—Original policy ↗
Place of Service NotificationCommercial—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.