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Notification of Reimbursement Policy Revisions Effective January 1, 2022 (Posted October 19, 2021)

Reimbursement Policy Revision
Unplanned Return to Surgery “Notification” New policy developed. Blue Cross NC will reduce payment by 30% for unplanned return to surgery services, as indicated by modifier 78. Notification on 10/19/2021 for effective date 1/1/2022.
Discontinued Procedures “Notification” New policy developed. Blue Cross NC will reduce payment by 50% when services were discontinued, as indicated by modifier 53 or 73. Notification on 10/19/2021 for effective date 1/1/2022.
Split Surgical Package “Notification” New policy developed. Blue Cross NC will provide reimbursement for components of the surgical package according to the criteria outlined in this policy. Notification on 10/19/2021 for effective date 1/1/2022.