Skip to main content
Shop Plans Learn more about our coverage options including health, Medicare, dental and vision options for you, your family or your employees. Get Started Individual & Family Medicare Employer Vision Dental International Travel Find Care FAQ Blog Members Stay on top of your health care with helpful member resources. Members Home Medicare Health Dental Vision Find Care Member Knowledge Center Member Forms Medicare Forms Library Make a Payment Federal Employees Student Blue Healthy Blue Providers Access tools, policies and the latest information to help you care for our members. Providers Home Network Participation Networks & Programs Claims, Appeals & Inquiries Prior Authorization Services & CPT codes Prescription Drug Search Policies, Guidelines & Codes Provider News Provider FAQ Contact Us Employers Learn about our coverage options for small and large employers, and access tools and resources for your group. Employers Home Shop Employer Plans Employer Portal Support Member Forms & Resources Find Care Blog Agents Access the tools you need: rate quotes, applications, forms, the latest industry news, marketing materials and more. Agents Home Agent Services Check Eligibility Find Care Member Forms & Resources Medicare Forms Library
Contact Us
Log In
I am ... Please select A member A provider An employer An agent
Log in to Agent Services
Log in to Employer Services Register for Employer Services I'm registered but need portal access
Username Forgot username? Continue to Log In Register for Blue Connect Need help? Learn how to log in.
Log in to Blue e Register for Blue e Log in to Dental Blue
Back
Notification of Reimbursement Policy Revisions Effective June 1, 2022 (Posted March 31, 2022) March 31, 2022
Reimbursement PolicyRevision
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 GuidelinesPolicy 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 GuidelinesPolicy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Consistency GuidelinesPolicy language updated throughout. Age group definitions updated. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Diagnosis Validity & Code GuidelinesNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Evaluation and Management ServicesPolicy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Facility Billing GuidelinesNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Global SurgeryNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Guidelines for Global Maternity ReimbursementPolicy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Immunization GuidelinesPolicy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Maximum Units of ServicePolicy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Modifier GuidelinesPolicy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
NCCI EditingNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
ObservationNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Once in a LifetimePolicy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Outpatient Code Editor (OCE) EditsPolicy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Partial Hospitalization and Intensive Outpatient ProgramsPolicy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Place of ServiceNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Pricing and Adjudication PrinciplesPolicy 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 ServicesPolicy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Revenue Codes Requiring Procedure Codes, FacilityNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Split Surgical PackagePolicy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Status CodesPolicy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Supply and Equipment ReimbursementPolicy 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.