Commercial Reimbursement Policy Updates for November 1, 2024

Reimbursement Policy	Revision
Add-on Codes	Clarification to the definition of same group practice. No change to policy intent.
Anesthesia Services Professional and Facility	Clarification to the definition of same group practice. No change to policy intent.
Bundling Guidelines	Clarification to the definition of same group practice. No change to policy intent.
Drugs and Biologicals	Modifier JZ requirement language added to the policy. Clarification to the definition of same group practice.
Evaluation and Management Services	Facility charges reimbursement guidelines added; separate reimbursement is not allowed.
Global Surgery	Clarification to the definition of same group practice. No change to policy intent.
Guidelines for Global Maternity Reimbursement	Clarification to the definition of same group practice. No change to policy intent.
Multiple and Bilateral Surgery	Clarification to the definition of same group practice. No change to policy intent.
Multiple Endoscopy Services	Clarification to the definition of same group practice. No change to policy intent.
NCCI Editing	Clarification to the definition of same group practice. No change to policy intent.
Opioid Treatment Program Reimbursement	Clarification to the definition of same group practice. No change to policy intent.
Pricing and Adjudication Principles	Clarification to the definition of same group practice. No change to policy intent.
Radiation Therapy Services	Clarification to the definition of same group practice. No change to policy intent.
Split Surgical Package	Clarification to the definition of same group practice. No change to policy intent.
Status Codes	Clarification to the definition of same group practice. No change to policy intent.
Telehealth	Clarification to the definition of same group practice. No change to policy intent.

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.

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