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 Forms and Documents 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 the member portal Need help? Learn how to log in.
Log in to Blue e Register for Blue e Log in to Dental Blue
Blue Cross NC Home Providers Policies, guidelines and codes Commercial Medical Policy Update July 1, 2026 Commercial Medical Policy Update July 1, 2026

 

Medical GuidelinesReason for Update
Electromagnetic Navigation BronchoscopyUpdated Billing/Coding section to add code 1040T, effective 7/1/2026.
Genetic Testing for Breast, Ovarian, Pancreatic and Prostate Cancers (BRCA) AHS - M2003PLA code 0651U added to the Billing/Coding section effective 07/01/26.
Genetic Testing of Mitochondrial Disorders AHS – M2085Codes 0657U, 0658U, and 0659U added to Billing/Coding section, effective 7/1/26.
Genome and Exome Sequencing AHS – M2032Code 0653U added to Billing/Coding section, effective 7/1/26.
Laboratory Procedures Medical Policy AHS - R2162Codes 0635U, 0636U, 0637U, 0638U, 0639U, 0649U, 0654U, 0655U, and 0656U added to Billing/Coding section, effective 7/1/26.
Liquid Biopsy AHS - G2054Deleted PLA code 0577U and added PLA codes 0634U, 0640U, and 0643U to Billing/Coding section effective 7/1/2026.
Lynch Syndrome AHS - M2004PLA code 0651U added to the Billing/Coding section effective 7/1/26.
Minimal Residual Disease (MRD) AHS - M2175PLA codes 0641U, 0642U, 0644U, 0645U, 0646U and 0647U added to the Billing/Coding section effective 7/1/26.
Pharmacogenetics Testing AHS - M2021Codes 0650U and 0652U added to Billing/Coding section, effective 7/1/26.
Phrenic Nerve Stimulation for Central Sleep ApneaUpdated Billing/Coding section to add codes 1027T, 1028T, 1029T, effective 7/1/2026.
Prenatal Screening (Genetic) AHS - M2179Updated Billing/Coding section to add PLA codes 0632U and 0633U, effective 7/1/2026.
Skin and Soft Tissue SubstitutesUpdated Billing/Coding section to add 1042T, 1044T, 1045T, 1046T, 1047T, 1048T, 1049T, effective 7/1/2026.
Testing for Targeted Therapy of Non-Small-Cell Lung Cancer AHS - M2030Updated Billing/Coding section to add PLA code 0648U, effective 7/1/2026.
Therapeutic Radiopharmaceuticals in OncologyPolicy Archived.

 
About Us Newsroom Blog Member Forms Transparency in Coverage Find Care Rights & Responsibilities Policies & Best Practices Privacy Policy Website User Agreement Fraud & Abuse Technical Information Contact Us Locations Careers Developers

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

Technical Information   Privacy Policy   Terms of Use   Fraud & Abuse   Linked Apps

© 2026 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.