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Medical Policy Updates

Blue Cross Blue Shield of North Dakota·ND · Urology, Gastroenterology, Orthopedics +11 more·Medical Policy
Effective date
Feb 19, 2026
We identified it
Jun 19, 2026
Days to comply

Summary

Blue Cross Blue Shield of North Dakota updated multiple medical policies with new covered services, revised criteria, coding changes, and consent policies effective February 19, 2026. Key changes include new procedure codes for prostate treatments, bone density studies, and various other specialties, plus removal of experimental procedure codes.

Action Required

Action needed
By February 19, 2026: Billing team must update coding systems to reflect all procedure code changes including adding new codes (52597, 52443, 47384, 77085, G0130, 22899, 27299) and removing discontinued codes (0421T, 0619T, 52647, 37500, C9794, T1025, J7309). Update billing software to move specified codes between policy categories as outlined. Review consent policies list to ensure proper authorization workflows are in place for affected procedures.

Affected Billing Codes

47384
52597
52443
52647
37262
37279
92972
C9764
C9765
C9766
C9767
C9772
C9773
C9774
C9775
A4554
E0743
53451
53452
53453
53454
77085
G0130
37500
I70.549
L97.929
C9794
T1025
J7309
22899
M79.1
K21.9
K21.00
K21.01
J01.01
J01.11
J01.31
27299
63032
37242
37244
G35.D