Reminder: Claim Billing Reminder

As a reminder, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has an existing Laboratory Procedures Medical Policy that states codes 80320-80377 are not separately reimbursable as they are to be filed as part of a drug panel such as G0480.

Blue Cross NC also has an existing Bundling Guidelines Reimbursement Policy that states codes S0280-S0281 are not separately reimbursable services. When filing claims to Blue Cross NC, providers are required to submit these services using Evaluation and Management codes, such as 99212-99215.

Moving forward, these codes will no longer be separately reimbursed.

Read the Laboratory full policy

Read the Bundling policy

This communication applies to State Health Plan (SHP), Federal Employee Program (FEP), Administrative Services Only (ASO), Fully Insured, Senior Market Administration (SMA), and IPP Host. It does not apply to IPP Home claims.