Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Recorded changes
83,427 on record
Recorded policy changes, newest first| Recorded | Payer | Policy | Change |
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| Aug 2, 2026 | Blue Cross NC | Preadmission and Preoperative ServicesPayerPolicy · BCBSNC-PREADMISSION-AND-PREOPERATIVE-SERVICES-BAC4DFE34A | New policy |
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| Aug 2, 2026 | Blue Cross NC | Place of ServicePayerPolicy · BCBSNC-PLACE-OF-SERVICE-1B16F5F29D | New policy |
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| Aug 2, 2026 | Blue Cross NC | Partial Hospitalization and Intensive Outpatient ProgramsPayerPolicy · BCBSNC-PARTIAL-HOSPITALIZATION-AND-INTENSIVE-OUTPATIENT-PROGRAMS-65954F4400 | New policy |
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| Aug 2, 2026 | Blue Cross NC | Outpatient Code Editor (OCE) EditsPayerPolicy · BCBSNC-OUTPATIENT-CODE-EDITOR-OCE-EDITS-ED29625E49 | New policy |
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| Aug 2, 2026 | Blue Cross NC | Opioid Treatment Program ReimbursementPayerPolicy · BCBSNC-OPIOID-TREATMENT-PROGRAM-REIMBURSEMENT-177E8A6E68 | New policy |
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| Aug 2, 2026 | Blue Cross NC | Once in a LifetimePayerPolicy · BCBSNC-ONCE-IN-A-LIFETIME-EA0725E053 | New policy |
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| Aug 2, 2026 | Blue Cross NC | Observation, FacilityPayerPolicy · BCBSNC-OBSERVATION-FACILITY-00E24C46CC | New policy |
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| Aug 2, 2026 | Blue Cross NC | Nonpayment For Serious Adverse EventsPayerPolicy · BCBSNC-NONPAYMENT-FOR-SERIOUS-ADVERSE-EVENTS-18F77B932A | New policy |
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| Aug 2, 2026 | Blue Cross NC | NDC RequirementsPayerPolicy · BCBSNC-NDC-REQUIREMENTS-B868151514 | New policy |
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| Aug 2, 2026 | Blue Cross NC | NCCI EditingPayerPolicy · BCBSNC-NCCI-EDITING-FCBED0A4B8 | New policy |
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| Aug 2, 2026 | Blue Cross NC | Multiple Procedure Payment Reduction GuidelinesPayerPolicy · BCBSNC-MULTIPLE-PROCEDURE-PAYMENT-REDUCTION-GUIDELINES-F4115DDB4B | New policy |
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| Aug 2, 2026 | Blue Cross NC | Modifier GuidelinesPayerPolicy · BCBSNC-MODIFIER-GUIDELINES-258744F8E8 | New policy |
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| Aug 2, 2026 | Blue Cross NC | Maximum Units of ServicePayerPolicy · BCBSNC-MAXIMUM-UNITS-OF-SERVICE-EFCF309EDA | New policy |
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| Aug 2, 2026 | Blue Cross NC | Inpatient ReadmissionsPayerPolicy · BCBSNC-INPATIENT-READMISSIONS-C4C02F0451 | New policy |
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| Aug 2, 2026 | Blue Cross NC | Immunization GuidelinesPayerPolicy · BCBSNC-IMMUNIZATION-GUIDELINES-6600682030 | New policy |
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| Aug 2, 2026 | Blue Cross NC | Global SurgeryPayerPolicy · BCBSNC-GLOBAL-SURGERY-027B3E6317 | New policy |
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| Aug 2, 2026 | Blue Cross NC | Facility Emergency Department E&M ServicesPayerPolicy · BCBSNC-FACILITY-EMERGENCY-DEPARTMENT-E-M-SERVICES-A795837CE1 | New policy |
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| Aug 2, 2026 | Blue Cross NC | Facility Critical Care with Home DischargePayerPolicy · BCBSNC-FACILITY-CRITICAL-CARE-WITH-HOME-DISCHARGE-4F995417FD | New policy |
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| Aug 2, 2026 | Blue Cross NC | Facility Billing GuidelinesPayerPolicy · BCBSNC-FACILITY-BILLING-GUIDELINES-B9DF9F3FF3 | New policy |
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| Aug 2, 2026 | Blue Cross NC | Evaluation and Management ServicesPayerPolicy · BCBSNC-EVALUATION-AND-MANAGEMENT-SERVICES-D7FB5DB436 | New policy |
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| Aug 2, 2026 | Blue Cross NC | Drugs and BiologicalsPayerPolicy · BCBSNC-DRUGS-AND-BIOLOGICALS-98F2E7E27C | New policy |
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| Aug 2, 2026 | Blue Cross NC | Diagnosis Validity & Coding GuidelinesPayerPolicy · BCBSNC-DIAGNOSIS-VALIDITY-CODING-GUIDELINES-E8854CB8DC | New policy |
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| Aug 2, 2026 | Blue Cross NC | Consistency GuidelinesPayerPolicy · BCBSNC-CONSISTENCY-GUIDELINES-A75EAAF711 | New policy |
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| Aug 2, 2026 | Blue Cross NC | Co-Surgeon, Assistant Surgeon, Team Surgeon, and Assistant-at-Surgery GuidelinesPayerPolicy · BCBSNC-CO-SURGEON-ASSISTANT-SURGEON-TEAM-SURGEON-AND-ASSISTANT-AT-S-0058F4374D | New policy |
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| Aug 2, 2026 | Blue Cross NC | Bundling GuidelinesPayerPolicy · BCBSNC-BUNDLING-GUIDELINES-A8C88A0783 | New policy |
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| Aug 2, 2026 | Blue Cross NC | Anesthesia Services, ProfessionalPayerPolicy · BCBSNC-ANESTHESIA-SERVICES-PROFESSIONAL-89545FDDAF | New policy |
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| Aug 2, 2026 | Blue Cross NC | Ambulance Reimbursement PolicyPayerPolicy · BCBSNC-AMBULANCE-REIMBURSEMENT-POLICY-479118631F | New policy |
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| Aug 2, 2026 | Blue Cross NC | Add-On CodesPayerPolicy · BCBSNC-ADD-ON-CODES-B233884F8E | New policy |
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| Aug 2, 2026 | Blue Cross NC | Proton Beam TherapyPayerPolicy · BCBSNC-PROTON-BEAM-THERAPY-ED5B011339 | New policy |
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| Aug 2, 2026 | Blue Cross NC | Transportation and Lodging Related to TransplantsPayerPolicy · BCBSNC-TRANSPORTATION-AND-LODGING-RELATED-TO-TRANSPLANTS-3F5D5B35C3 | New policy |
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| Aug 2, 2026 | Blue Cross NC | Investigational (Experimental) ServicesPayerPolicy · BCBSNC-INVESTIGATIONAL-EXPERIMENTAL-SERVICES-F6CDA5FA5C | New policy |
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| Aug 2, 2026 | Blue Cross NC | Genicular Nerve Blocks and Peripheral Nerve Ablation for Knee PainPayerPolicy · BCBSNC-GENICULAR-NERVE-BLOCKS-AND-PERIPHERAL-NERVE-ABLATION-FOR-KNE-6E388F382A | New policy |
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| Aug 2, 2026 | Blue Cross NC | Foresee Home AMD MonitoringPayerPolicy · BCBSNC-FORESEE-HOME-AMD-MONITORING-044AE2B198 | New policy |
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| Aug 2, 2026 | Blue Cross NC | Ambulance and Medical Transport ServicesPayerPolicy · BCBSNC-AMBULANCE-AND-MEDICAL-TRANSPORT-SERVICES-D762AE429B | New policy |
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| Aug 2, 2026 | Blue Cross NC | Upper Limb ProstheticsPayerPolicy · BCBSNC-UPPER-LIMB-PROSTHETICS-2AB7AB8D8F | New policy |
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| Aug 2, 2026 | Blue Cross NC | PureWick Urine Collection System and External Urine Incontinence Suction PumpsPayerPolicy · BCBSNC-PUREWICK-URINE-COLLECTION-SYSTEM-AND-EXTERNAL-URINE-INCONTIN-D41FE1F42B | New policy |
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| Aug 2, 2026 | Blue Cross NC | Power Enhanced, Robotic Assisted and/or Microprocessor Upper and Lower Extremity Rehabilitative Devices (MyoPro/IpSiHand/Motus)PayerPolicy · BCBSNC-POWER-ENHANCED-ROBOTIC-ASSISTED-AND-OR-MICROPROCESSOR-UPPER-C37A6C8B34 | New policy |
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| Aug 2, 2026 | Blue Cross NC | Pneumatic Compression Device for Chest, Abdomen, Trunk, Head and/or NeckPayerPolicy · BCBSNC-PNEUMATIC-COMPRESSION-DEVICE-FOR-CHEST-ABDOMEN-TRUNK-HEAD-AN-26B66135E4 | New policy |
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| Aug 2, 2026 | Blue Cross NC | Durable Medical Equipment (DME)PayerPolicy · BCBSNC-DURABLE-MEDICAL-EQUIPMENT-DME-9D419086CC | New policy |
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| Aug 2, 2026 | Blue Cross NC | Bioengineered Skin and Soft Tissue Substitutes for Diabetic Foot Ulcers, Vascular Insufficiency Ulcers, Pressure Injuries, and Chronic Non-Healing Wounds of the Trunk, Upper Extremities, Head, and NeckPayerPolicy · BCBSNC-BIOENGINEERED-SKIN-AND-SOFT-TISSUE-SUBSTITUTE-FOR-DIABETIC-N-CBBF7FFAAD | New policy |
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| Aug 2, 2026 | Blue Cross NC | Bioengineered Skin and Soft Tissue Substitute for Breast Reconstruction, Epidermolysis Bullosa Dystrophica (EBD), and Severe BurnsPayerPolicy · BCBSNC-BIOENGINEERED-SKIN-AND-SOFT-TISSUE-SUBSTITUTE-FOR-BREAST-REC-BAF130F3B0 | New policy |
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| Aug 2, 2026 | Blue Cross NC | Neuropsychological Testing (Medical and Behavioral Health)PayerPolicy · BCBSNC-NEUROPSYCHOLOGICAL-TESTING-MEDICAL-AND-BEHAVIORAL-HEALTH-142C9836F4 | New policy |
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| Aug 2, 2026 | Blue Cross NC | Intensive Outpatient Program (IOP) Behavioral HealthPayerPolicy · BCBSNC-INTENSIVE-OUTPATIENT-PROGRAM-IOP-BEHAVIORAL-HEALTH-CF9D7F701D | New policy |
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| Aug 2, 2026 | Blue Cross NC | Trigger Point and Tender Point InjectionsPayerPolicy · BCBSNC-TRIGGER-POINT-AND-TENDER-POINT-INJECTIONS-0FAFDEB51B | New policy |
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| Aug 2, 2026 | Blue Cross NC | Speech Generating DevicesPayerPolicy · BCBSNC-SPEECH-GENERATING-DEVICES-4E343874AC | New policy |
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| Aug 2, 2026 | Blue Cross NC | Rehabilitative TherapiesPayerPolicy · BCBSNC-REHABILITATIVE-THERAPIES-C168F5B864 | New policy |
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| Aug 2, 2026 | Blue Cross NC | Dermatologic Applications of Photodynamic TherapyPayerPolicy · BCBSNC-DERMATOLOGIC-APPLICATIONS-OF-PHOTODYNAMIC-THERAPY-4FC763F78E | New policy |
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| Aug 2, 2026 | Blue Cross NC | Cranial Electrotherapy Stimulation (CES) and Auricular ElectrostimulationPayerPolicy · BCBSNC-CRANIAL-ELECTROTHERAPY-STIMULATION-CES-AND-AURICULAR-ELECTRO-63DA782B87 | New policy |
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| Aug 2, 2026 | Blue Cross NC | Whole Gland Ablative Treatments of Prostate CancerPayerPolicy · BCBSNC-WHOLE-GLAND-ABLATIVE-TREATMENTS-OF-PROSTATE-CANCER-F6D45C6969 | New policy |
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| Aug 2, 2026 | Blue Cross NC | Viscocanalostomy and CanaloplastyPayerPolicy · BCBSNC-VISCOCANALOSTOMY-AND-CANALOPLASTY-E163F217F1 | New policy |
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