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Multiple Radiology Procedure Payment Reduction


Blue Cross and Blue Shield of North Carolina (BCBSNC) is committed to providing you with timely notification of policy additions.

BCBSNC has modified its billing and claims submission policies and reimbursement policies. BCBSNC has added a new medical policy that reduces the allowed amount for the technical component of certain outpatient (hospital or provider office) radiology procedures when performed in the same session.

The BCBSNC Medical Policy has been added and is available at: https://www.bcbsnc.com/assets/services/public/pdfs/medicalpolicy/radiology_services_reimbursement_guidelines_notification.pdf

These changes are applicable for all BCBSNC commercial business only and are not applicable for Blue Medicare or FEP.