Blue Cross NC policies

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.

Checking prior authorization for 99215? Open Blue Cross NC’s official lists and confirm the member’s product there.

31 policies name 99215, those listing the fewest codes first. A policy that names a code may also list it as excluded.

Blue Cross NC policies
PolicyDetailsCodesSource
Group Visit (Shared Medical Appointment) GuidelinesCommercial4Original policy ↗
Annual Preventive Visit Quick-View ResourcesCommercial, Medicaid10Original policy ↗
Annual Preventive Visit TypesCommercial20Original policy ↗
Evaluation and Management ServicesEffective Jun 1, 202226Original policy ↗
Evaluation and Management ServicesEffective May 1, 202426Original policy ↗
Evaluation and Management Services NotificationEffective Jun 1, 202226Original policy ↗
Evaluation and Management Services NotificationEffective Jun 1, 202226Original policy ↗
Guidelines for Global Maternity ReimbursementCommercial26Original policy ↗
Supplemental GuideU37164 · Medicaid26Original policy ↗
Evaluation and Management ServicesEffective Nov 1, 202327Original policy ↗
Modifier GuidelinesCommercial33Original policy ↗
Modifier GuidelinesCommercial33Original policy ↗
Modifier Guidelines NotificationCommercial33Original policy ↗
Evaluation and Management ServicesCommercial48Original policy ↗
Evaluation and Management ServicesCommercial48Original policy ↗
Evaluation and Management ServicesCommercial48Original policy ↗
Evaluation and Management Services NotificationCommercial48Original policy ↗
Chiropractic ServicesCommercial96Original policy ↗
Rehabilitative TherapiesCommercial107Original policy ↗
TelehealthCommercial176Original policy ↗
Bundling GuidelinesCommercial296Original policy ↗
Bundling GuidelinesCommercial297Original policy ↗
Bundling GuidelinesCommercial297Original policy ↗
Bundling GuidelinesCommercial298Original policy ↗
Bundling GuidelinesCommercial302Original policy ↗
Bundling GuidelinesCommercial302Original policy ↗
Bundling GuidelinesCommercial302Original policy ↗
Bundling GuidelinesCommercial302Original policy ↗
Bundling GuidelinesCommercial302Original policy ↗
Health Care Reform Preventive Services Coding GuideCommercial307Original policy ↗
The Blue Book Provider e-ManualCommercial, Medicaid503Original 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.