Blue Cross NC policies, page 4

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
Colorectal Cancer Screening AHS - G2181G2181 · Commercial10Original policy ↗
Colorectal Cancer Screening AHS - G2181 NotificationG2181 · Commercial11Original policy ↗
Combination Codes (PDF)Commercial—Original policy ↗
Composite Allotransplantation of the Hand and FaceCommercial1Original policy ↗
Computer Assisted Surgical Navigational Orthopedic ProceduresCommercial7Original policy ↗
Computerized Corneal TopographyCommercial1Original policy ↗
Confocal Laser EndomicroscopyCommercial4Original policy ↗
Congenital Heart Defect, Repair DevicesCommercial8Original policy ↗
Congestive Heart Failure (PDF)Commercial—Original policy ↗
Consistency GuidelinesEffective Dec 31, 2022 · Commercial—Original policy ↗
Consistency GuidelinesMedicaid—Original policy ↗
ConsultationsG-05006 · Effective Dec 19, 2023 · Medicaid—Original policy ↗
Continuous Monitoring of Glucose in the Interstitial Fluid10120 · Commercial30Original policy ↗
Continuous Passive Motion in the Home SettingCommercial2Original policy ↗
Continuous Passive Motion in the Home SettingCommercial2Original policy ↗
Continuous Passive Motion in the Home Setting NotificationCommercial2Original policy ↗
Convection-Enhanced Delivery of Therapeutic Agents to the BrainCommercial2Original policy ↗
Conventions and GuidelinesCommercial—Original policy ↗
Cord Blood as a Source of Stem CellsCommercial13Original policy ↗
Corneal Collagen Cross-linkingCommercial3Original policy ↗
Coronavirus Testing in the Outpatient Setting AHS - G2174G2174 · Effective Apr 30, 2025 · Commercial52Original policy ↗
Coronavirus Testing in the Outpatient Setting AHS - G2174G2174 · Commercial55Original policy ↗
Coronavirus Testing in the Outpatient Setting AHS - G2174 NotificationAHS-G2174 · Effective Apr 30, 2025 · Commercial52Original policy ↗
Corrected ClaimsG-16001 · Effective Jul 23, 2021 · Medicaid—Original policy ↗
Cosmetic and Reconstructive SurgeryCommercial3Original policy ↗
COVID-19 Vaccines Covered Through 2026 (PDF)NCBCBS-CR-094343-25-CPN94195 · Medicaid—Original policy ↗
Cranial Electrotherapy Stimulation (CES) and Auricular ElectrostimulationCommercial7Original policy ↗
Criteria Information (PDF)Commercial—Original policy ↗
Cryoablation, Radiofrequency Ablation, and Laser Ablation for Treatment of Chronic RhinitisCommercial6Original policy ↗
Cryosurgical Ablation of Miscellaneous Solid Tumors Other Than Liver, Prostate, or Dermatologic TumorsCommercial11Original policy ↗
Cryosurgical Ablation of Primary or Metastatic Liver TumorsCommercial4Original policy ↗
D-SNP Member Identification Guide (PDF)H9147-001 · Medicaid—Original policy ↗
Decompression of the Intervertebral Disc Using Laser Energy (Laser Discectomy) or Radiofrequency Coblation (Nucleoplasty)Commercial2Original policy ↗
Dental Criteria for use of Hospital Inpatient or Outpatient Facility Services or Ambulatory Surgery Center Facility ServicesCommercial—Original policy ↗
Dental e-ManualCommercial19Original policy ↗
Dental Reconstructive ServicesCommercial134Original policy ↗
Dermatologic Applications of Photodynamic TherapyCommercial6Original policy ↗
Detection of Circulating Tumor Cells and Cell Free DNA in Cancer Management AHS-G2054AHS-G2054 · Commercial3Original policy ↗
Developmental Delay Screening and Testing GuidelinesCommercial12Original policy ↗
Diabetes Mellitus Testing - AHS G2006AHS G2006 · Commercial6Original policy ↗
Diabetes Mellitus Testing – AHS G2006 NotificationG2006 · Commercial6Original policy ↗
Diagnosis of Idiopathic Environmental Intolerance AHS - G2056G2056 · Commercial55Original policy ↗
Diagnosis of Idiopathic Environmental Intolerance AHS - G2056 NotificationG2056 · Commercial55Original policy ↗
Diagnosis of Idiopathic Environmental Intolerance AHS – G2056G2056 · Commercial39Original policy ↗
Diagnosis of Vaginitis AHS - M2057M2057 · Commercial58Original policy ↗
Diagnosis of Vaginitis AHS - M2057AHS-M2057 · Commercial58Original policy ↗
Diagnosis of Vaginitis including Multi-target PCR Testing AHS – M2057M2057 · Commercial21Original policy ↗
Diagnosis Used in DRG ComputationG-12005 · Effective Oct 8, 2020 · Medicaid—Original policy ↗
Diagnosis Validity & Code GuidelinesCommercial—Original policy ↗
Diagnosis Validity & Code GuidelinesCommercial—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.