| Reimbursement Policy |
Reason for Update |
| Bundling Guidelines |
Status B codes section was removed from policy and moved to new commercial reimbursement policy “Status Codes”. |
| Maximum units of service edits |
Specific unit limits for blood glucose supplies, mastectomy bras and gradient compression stockings moved to new reimbursement policy titled “Supply and Equipment Reimbursement”. |
| Radiology Services |
Coding section updated with new code 0648T . |
| Intensity modulated radiation therapy |
New policy developed. Blue Cross Blue Shield North Carolina (Blue Cross NC) will provide reimbursement for IMRT related services according to the criteria outlined in this policy. |
| Status codes |
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. |
| Supply Equipment |
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. |
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