Medical Policy Updates

Reimbursement Policy Update Posted August 10, 2021

Reimbursement Guidelines Reason for Update
Drug and Biological Wastage New policy developed. Blue Cross Blue Shield North Carolina (Blue Cross NC) will provide reimbursement for drug and biological wastage, as indicated by modifier JW, according to the criteria outlined in this policy. Notification on 6/9/2021 for effective date 8/10/2021.
Immunization Guidelines Clarification made to rabies diagnosis usage in Billing and Coding section.
Services Bundled Into Inpatient / Outpatient Stays Content extracted from provider manual and developed into policy to clarify and summarize routine services, supplies, and equipment included in a daily hospital service charge. Blue Cross Blue Shield North Carolina (Blue Cross NC) will limit reimbursement for routine services, supplies, and equipment according to the criteria outlined in this policy. Notification on 6/9/2021 for effective date 8/10/2021.