Blue Cross NC policies, page 5

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
Diagnosis Validity & Code GuidelinesCommercial—Original policy ↗
Diagnosis Validity & Coding GuidelinesMedicaid—Original policy ↗
Diagnosis Validity & Coding GuidelinesCommercial—Original policy ↗
Diagnosis Validity & Coding Guidelines NotificationEffective Jun 1, 2022 · Medicaid—Original policy ↗
Diagnosis-Related Group (DRG) Inpatient Facility Transfers (PDF)G-13002 · Medicaid—Original policy ↗
Diagnostic Testing of Influenza AHS - G2119G2119 · Commercial13Original policy ↗
Diagnostic Testing of Influenza AHS – G2119G2119 · Commercial13Original policy ↗
Diagnostic Testing of Iron Homeostasis and Metabolism AHS - G2011G2011 · Commercial8Original policy ↗
Diagnostic Testing of Iron Homeostasis and Metabolism AHS - G2011 NotificationG2011 · Commercial7Original policy ↗
Diagnostic Testing of Iron Homeostasis and Metabolism AHS – G2011 NotificationG2011 · Commercial7Original policy ↗
Diagnostic Testing of Sexually Transmitted Infections AHS – G2157G2157 · Commercial85Original policy ↗
Diagnostic Testing of Sexually Transmitted Infections AHS – G2157AHS – G2157 · Commercial97Original policy ↗
Diagnostic Testing of Sexually Transmitted Infections AHS – G2157 NotificationG2157 · Commercial97Original policy ↗
DNA Ploidy Cell Cycle Analysis AHS – M2136M2136 · Commercial3Original policy ↗
Documentation & Coding Reference Guide: Cerebral Infarction/StrokeCommercial—Original policy ↗
Documentation & Coding Reference Guide: DiabetesCommercial—Original policy ↗
Documentation & Coding Reference Guide: Myocardial InfarctionCommercial—Original policy ↗
Documentation & Coding Reference Guide: Outpatient Chart “Where to look”Commercial—Original policy ↗
Documentation and Coding Social Determinants of Health (SDOH)Commercial—Original policy ↗
Documentation Requirements for Treatment of End Stage Renal DiseaseCommercial18Original policy ↗
Documentation Standards for Episodes of CareG-11004 · Effective Dec 30, 2024 · Medicaid—Original policy ↗
Driving Distance for Members On Exchange (PDF)Commercial—Original policy ↗
Drug and Biologic (PDF)NCBCBS-CR-063023-24-CPN62565 · Medicaid—Original policy ↗
Drug and BiologicalsCommercial—Original policy ↗
Drug and Biologicals—Original policy ↗
Drug and Biologicals—Original policy ↗
Drug and Biologicals—Original policy ↗
Drug and Biologicals—Original policy ↗
Drug and Biologicals NotificationCommercial—Original policy ↗
Drug Screen TestingG-19001 · Effective Aug 6, 2024 · Medicaid—Original policy ↗
Drug Testing in Pain Management and Substance Abuse TreatmentCommercial109Original policy ↗
Drugs and BiologicalsCommercial—Original policy ↗
Drugs and BiologicalsCommercial—Original policy ↗
Drugs and BiologicalsMedicaid—Original policy ↗
Drugs and Biologicals—Original policy ↗
Duplicate or Subsequent Services on the Same Date of ServiceG-06032 · Effective Apr 11, 2022 · Medicaid—Original policy ↗
Durable Medical Equipment (DME)Commercial34Original policy ↗
Durable Medical Equipment (DME)Medicaid—Original policy ↗
Durable Medical Equipment (DME)—Original policy ↗
Durable Medical Equipment (Rent to Purchase)G-06052 · Effective Jun 13, 2023 · Medicaid—Original policy ↗
DVT/PE One Pager (PDF)Commercial—Original policy ↗
Dynamic PosturographyCommercial2Original policy ↗
ECG ReimbursementCommercial1Original policy ↗
Efficiency and the Check-in Experience with Digital Member ID Cards (PDF)NCBCBS-CR-090502-25-CPN89895 · Medicaid—Original policy ↗
Electrical Bone Growth StimulationCommercial6Original policy ↗
Electrical Stimulation for the Treatment of ArthritisCommercial1Original policy ↗
Electrodiagnostic StudiesCommercial29Original policy ↗
Electrogastrography, CutaneousCommercial2Original policy ↗
Electromagnetic Navigation BronchoscopyCommercial15Original policy ↗
Electronic Brachytherapy for Nonmelanoma Skin CancerCommercial8Original 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.