High impact
Medical policy updates
Blue Cross Blue Shield of Rhode Island·Effective Sep 1, 2026
Effective September 1, 2026, this comprehensive medical policy update introduces new prior authorization requirements for 29 spinal procedure CPT codes, three additional CPT codes (33285, 93228, 93229), and multiple genetic/biomarker testing codes across Medicare Advantage and/or commercial plans. Additionally, new ICD-10 diagnosis codes for Parkinson Disease chelation therapy, revised medical necessity criteria for multiple procedures, and significant reorganization of biomarker testing criteria into a centralized mandate policy will require billing system updates and provider notification.