Blue Cross NC policies, page 21

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
Vitamin D Testing AHS - G2005G2005 · Commercial3Original policy ↗
Vitamin D Testing AHS – G2005 NotificationG2005 · Commercial3Original policy ↗
Voriconazole Prior Authorization Criteria - Medicare Part D—Original policy ↗
Vosevi Prior Authorization Criteria - Medicare Part D—Original policy ↗
Vowst Prior Authorization Criteria - Medicare Part D—Original policy ↗
Vyndamax and Vyndaqel Prior Authorization Criteria (with Quantity Limit) - Medicare Part D—Original policy ↗
Wearable Cardioverter DefibrillatorsCommercial8Original policy ↗
Wheelchairs (Manual and Power Operated)Commercial153Original policy ↗
Whole Body Computed Tomography Scan as a Screening TestCommercial1Original policy ↗
Whole Body Computed Tomography Scan as a Screening Test NotificationCommercial1Original policy ↗
Whole Genome and Whole Exome Sequencing AHS – M2032M2032 · Commercial26Original policy ↗
Whole Gland Ablative Treatments of Prostate CancerCommercial4Original policy ↗
Xdemvy Prior Authorization Criteria - Medicare Part D—Original policy ↗
Xermelo Prior Authorization (with Quantity Limit) Criteria – Medicare Part D—Original policy ↗
Xgeva Prior Authorization Criteria - Medicare Part D—Original policy ↗
Xifaxan Prior Authorization with Quantity Limit Criteria - Medicare Part D—Original policy ↗
Xifaxan Prior Authorization with Quantity Limit Criteria - Medicare Part D—Original policy ↗
Xolair Prior Authorization Criteria – Medicare Part D—Original policy ↗
Zepatier Prior Authorization Criteria - Medicare Part D—Original policy ↗
ZIKA Virus Risk Assessment AHS – G2133G2133 · Commercial2Original policy ↗
Zokinvy Prior Authorization (with Quantity Limit) Criteria - Medicare Part D—Original policy ↗
Ztalmy Prior Authorization Criteria - Medicare Part D—Original policy ↗

Back to Blue Cross NC · 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.