Medical Policy Updates

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Notification of Policy Revisions Effective July 1, 2021 Posted April 30, 2021

Reimbursement Policy Revision
Supply and Equipment Reimbursement “Notification” New policy developed. Gradient compression garment limit reduced from 6 pair to four (4) pair or eight (8) individual units per year. Breast pump supplies limited to 2 units per code, per year. TMJ splint limits added. Notification on 4/30/2021 for effective date 7/1/2021.
Status Codes “Notification” New policy developed. Blue Cross Blue Shield North Carolina (Blue Cross NC) will provide reimbursement for select status indicator codes according to the criteria outlined in this policy. Notification on 4/30/2021 for effective date 7/1/2021.