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 G0402? Open Blue Cross NC’s official lists and confirm the member’s product there.
9 policies name G0402, those listing the fewest codes first. A policy that names a code may also list it as excluded.
| Policy | Details | Codes | Source |
|---|---|---|---|
| Facility Billing Guidelines | Commercial | 8 | Original policy ↗ |
| Facility Billing Guidelines | Commercial | 9 | Original policy ↗ |
| Facility Billing Guidelines | Commercial | 9 | Original policy ↗ |
| Facility Billing Guidelines | Commercial | 9 | Original policy ↗ |
| Facility Billing Guidelines Notification | Commercial | 9 | Original policy ↗ |
| Annual Preventive Visit Quick-View Resources | Commercial, Medicaid | 10 | Original policy ↗ |
| Facility Billing Guidelines | Effective Jun 1, 2022 | 11 | Original policy ↗ |
| Annual Preventive Visit Types | Commercial | 20 | Original policy ↗ |
| Supplemental Guide | U37164 · Medicaid | 26 | Original policy ↗ |
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