|Professional Pathology Billing Requirements AHS – R2169 "Notification"
||Replaced the term “Blue Cross NC” with “Blue Cross and Blue Shield of North Carolina (BCBSNC) throughout the policy. Minor revisions to Description section. Replaced the term “guidelines with “requirements” within the policy statement. Removed the following statement from under the heading – Billing Guidelines: “INFORMATION IN THIS CHART HIGHLIGHTS THE MOST FREQUENTLY USED PLACED OF SERVICE SCENARIOS” and replaced with “The chart below is how pathology claims must be filed in order to process and pay appropriately.” Moved the term “Reference Laboratory” and corresponding definition under the “DEFINITIONS” table. Under the Billing/Coding section, replaced the statement “This policy may apply to the following codes” with “Applicable codes for this policy are for reference only and may not be all inclusive”; added the Clinical pathology code ranges. Paragraph under the Policy Implementation/Update Information section revised for policy cohesion and clarity. Notification given 4/20/21 for effective date 7/1/21. Medical Director review 4/2021.