Medical Policy Updates

Reimbursement Policy Update October 1, 2021

Medical Guidelines Reason for Update

Evaluation and Management Services

Clarified "Treatment Rooms with Office Evaluation and Management Services".  References updated.

Once in a Lifetime

New policy developed. Blue Cross Blue Shield North Carolina (Blue Cross NC) will limit reimbursement for each "Once in a Lifetime" procedure group to only once during a member's lifetime according to the criteria outlined in this policy.