Skip to main content

Notification of Medical Policy Revision for February 2023

February 01, 2023
Medical PolicyRevision
Mitral Valve Transcatheter Edge to Edge Repair (PDF)
  • Annual Review 

CAG-00438R 

  • No CMS Updates; Minor Revisions only
Orthognathic Surgery (PDF)
  • Annual Review 

Corporate Medical Policy: Orthognathic Surgery

LCD: L33738 

LCD: L33468 

LCA: A52463 

  • No CMS Updates; Added CPT codes 21085 and 21188 under applicable codes
Temporomandibular Joint Surgery (PDF)
  • Annual Review 

Corporate Medical Policy: Temporomandibular Joint Dysfunction (TMJD) Treatment 

  • No CMS Updates; Minor Revisions only

 

 

 

 

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

© 2024 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.