Reimbursement Policy Update: 3D Radiology Services – Bundling Guidelines

November 27, 2024
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Effective February 1, 2025, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is updating its Bundling Guidelines reimbursement policy.

3D rendering of imaging services (e.g., 76376 and 76377) will be considered integral to the primary service and will not be separately reimbursable. This update applies to both professional and facility services. 3D mammography services will not be impacted by this change. Please see the related policy notification for more information.

Blue Cross NC is implementing this change to ensure consistent reimbursement practices. This aligns with Blue Cross NC’s mission to make healthcare more affordable for all.

This change will apply to Commercial and Federal Employee Program (FEP). It will not apply to Inter-Plan Program (IPP) Home or Medicare Advantage.