Medical Policies Updates

Blue Cross Blue Shield of North Dakota (BCBSND) continually develops and revises medical policies in response to rapidly changing medical technology. Our commitment is to update the provider community as medical policies are adopted and/or revised. Benefit determinations are made based on the medical policy in effect at the time of service.

The following medical policies were reviewed by our Internal Medical Policy Committee on June 10, 2025. The following policies will be updated within the next 30 days on our website. To review our medical policy changes, visit our BCBSND website under Medical Policy Search | BCBSND

Starting July 1, 2025 the following policy updates will begin.

The following medical policies are new:

  • Category III T-Codes
  • Percutaneous Electrical Nerve Field Stimulation (PENFS)

The following medical policies were revised:

  • Diagnosis and Treatment of Male Sexual Dysfunction
  • Making section for Penile contracture devices as experimental/investigational (E/I) and updated verbiage.
  • Hematopoietic Cell Transplantation: Non-Cancer Diseases
    • Professional Statements were updated.

The following medical policies are consent policies:

  • Ultrasound Osteogenesis Stimulator
  • AposTherapy System
  • Confocal Laser Endomicroscopy

The following medical policies had coding changes:

  • Wheelchairs (WC) and Options/Accessories
    • Added procedure code E2298 to covered diagnosis codes.
  • Diagnosis and Treatment of Male Sexual Dysfunction
    • E0201 will now be E/I
  • Experimental/Investigational
    • Removed all the T-codes and added to new policy Z-111