| Medical Policy Name | Revision |
|---|---|
| Interspinous and Interlaminar Stabilization/Distraction Devices (Spacers) | Revision Date: May 19, 2026: Newly created policy in absence of NCD or LCD Effective date: 8/1/2026 |
| Refractive Surgical Procedures | Revision Date: October 16, 2025, Annual Review. No clinical updates are required. External Physician Reviewed – no edits required. |
| Temporomandibular Joint Dysfunction Surgery | Revision Date: June 15, 2026: Annual Review. No Guidance changes. Minor grammatical revisions only. |
| Upper Limb Prosthetics | Revision Date: June 18, 2026: Annual review. No CMS guidance to update. Minor grammatical changes noted. |
Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Learn more about our non-discrimination policy and no-cost services available to you.
Information in other languages: Español 中文 Tiếng Việt 한국어 Français العَرَبِيَّة Hmoob ру́сский Tagalog ગુજરાતી ភាសាខ្មែរ Deutsch हिन्दी ລາວ 日本語
Technical Information Privacy Policy Terms of Use Fraud & Abuse Linked Apps
© 2026 Blue Cross and Blue Shield of North Carolina. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. All other marks and names are property of their respective owners. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association.