Log In
| 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.