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Commercial Reimbursement Policy Updates for November 1, 2024
| Reimbursement Policy | Revision |
|---|---|
| Add-on Codes (PDF) | Clarification to the definition of same group practice. No change to policy intent. |
| Anesthesia Services Professional and Facility (PDF) | Clarification to the definition of same group practice. No change to policy intent. |
| Bundling Guidelines (PDF) | Clarification to the definition of same group practice. No change to policy intent. |
| Drugs and Biologicals (PDF) |
|
| Evaluation and Management Services (PDF) | Facility charges reimbursement guidelines added; separate reimbursement is not allowed. |
| Global Surgery (PDF) | Clarification to the definition of same group practice. No change to policy intent. |
| Guidelines for Global Maternity Reimbursement (PDF) | Clarification to the definition of same group practice. No change to policy intent. |
| Multiple and Bilateral Surgery (PDF) | Clarification to the definition of same group practice. No change to policy intent. |
| Multiple Endoscopy Services (PDF) | Clarification to the definition of same group practice. No change to policy intent. |
| NCCI Editing (PDF) | Clarification to the definition of same group practice. No change to policy intent. |
| Opioid Treatment Program Reimbursement (PDF) | Clarification to the definition of same group practice. No change to policy intent. |
| Pricing and Adjudication Principles (PDF) | Clarification to the definition of same group practice. No change to policy intent. |
| Radiation Therapy Services (PDF) | Clarification to the definition of same group practice. No change to policy intent. |
| Split Surgical Package (PDF) | Clarification to the definition of same group practice. No change to policy intent. |
| Status Codes (PDF) | Clarification to the definition of same group practice. No change to policy intent. |
| Telehealth (PDF) | Clarification to the definition of same group practice. No change to policy intent. |
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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