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Blue Cross NC Home Providers Policies, guidelines and codes Services and CPT codes Commercial Carelon CPT codes Providers Commercial Carelon CPT codes

Enter CPT and HCPCS codes in the search to determine if they require prior authorization. Codes that require prior authorization will have a link to direct you to related requirements and instructions. 

The PDF versions of the code lists have been removed. Please use the search tool to determine if the service requires prior authorization.
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Last updated January 2025. This list is subject to change at least once per quarter. Changes will be posted to the Blue Cross and Blue Shield of North Carolina (Blue Cross NC) website by the 10th day of January, April, July, and October. Unlisted and Miscellaneous health service codes should only be used if a specific code has not been established by the American Medical Association.
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Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Learn more about our non-discrimination policy and no-cost services available to you.

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