Notification of Reimbursement Policy Revisions Effective June 1, 2022 (Posted March 31, 2022) | Providers

Shop Plans

Get Covered
Additional Coverage
Helpful Information
- Find Care
- FAQ
- Blog

Members

Type of Plans
- Medicare
- Health
- Dental
- Vision
Helpful Information
Special Groups

Employers

Get Started
Helpful Information

Agents

Get Started
Help Your Members

Notification of Reimbursement Policy Revisions Effective June 1, 2022 (Posted March 31, 2022)

Reimbursement Policy	Revision
Add-On Codes	New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Anesthesia, Professional and Facility	New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Bundling Guidelines	Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Co-Surgeon, Assistant Surgeon, Team Surgeon and Assistant-at-Surgery Guidelines	Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Consistency Guidelines	Policy language updated throughout. Age group definitions updated. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Diagnosis Validity & Code Guidelines	New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Evaluation and Management Services	Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Facility Billing Guidelines	New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Global Surgery	New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Guidelines for Global Maternity Reimbursement	Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Immunization Guidelines	Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Maximum Units of Service	Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Modifier Guidelines	Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
NCCI Editing	New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Observation	New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Once in a Lifetime	Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Outpatient Code Editor (OCE) Edits	Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Partial Hospitalization and Intensive Outpatient Programs	Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Place of Service	New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Pricing and Adjudication Principles	Policy renamed from “Pricing and Adjudication Principles for Professional Providers” to “Pricing and Adjudication Principles”. Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Radiation Therapy Services	Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Revenue Codes Requiring Procedure Codes, Facility	New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Split Surgical Package	Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Status Codes	Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Supply and Equipment Reimbursement	Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.

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.

Information in other languages: Español 中文 Tiếng Việt 한국어 Français العَرَبِيَّة Hmoob ру́сский Tagalog ગુજરાતી ភាសាខ្មែរ Deutsch हिन्दी ລາວ 日本語

© 2025 Blue Cross and Blue Shield of North Carolina. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. All other marks and names are property of their respective owners. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association.