Start free

PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
Blue Cross & Blue Shield of MississippiAll Plans · Coverage · Medical Policy · RheumatologyMedium impact

Anti-CCP Testing for Rheumatoid Arthritis

Effective date
Not stated in the notice
Identified
Jun 20, 2026

Summary

Measurement of anti-CCP may be considered medically necessary when used as part of the diagnostic work-up for rheumatoid arthritis, up to two times per calendar year. Measurement of anti-CCP is considered investigational when used to monitor disease activity or treatment response. The covered code is CPT 86200, paired with covered ICD-10 diagnosis codes for rheumatoid arthritis and other unspecified arthropathy, juvenile arthritis, pain in joint, and stiffness of joint.

Get alerts when payers change rules like this one

We check Blue Cross & Blue Shield of Mississippi and other payers every day and email you when a change matches your specialty and state.

Get Blue Cross & Blue Shield of Mississippi alertsPolicy Monitoring is free. No card required.

What to do

Action · 3 steps
01Billing team: For CPT 86200, claims for the diagnostic work-up of rheumatoid arthritis may be medically necessary up to two times per calendar year.
02Anti-CCP measurement used to monitor disease activity or treatment response is considered investigational under this policy.
03Use the covered ICD-10 diagnosis codes in the code reference when billing CPT 86200: M05.00 through M08.99, M12.00 through M12.09 (rheumatoid arthritis and other unspecified arthropathy), M08.9A (juvenile arthritis, unspecified, other specified site), M25.50 through M25.579 (pain in joint), M25.59 (pain in other specified joint), M25.60 through M25.676 (stiffness of joint), and M25.69 (stiffness of other specified joint).

Codes mentioned

86200M05.00M08.99M12.00M12.09M08.9AM25.50M25.579M25.59M25.60M25.676M25.69

Original notice

Anti-CCP Testing for Rheumatoid Arthritis
bcbsms.com · Always check the source before changing claims.
View original ↗

Related changes

See all Blue Cross & Blue Shield of Mississippi changes →
State and School Employees' Health Insurance Plan - Anti-Rheumatic BiologicalsHighNo effective date · Medical PolicyTrigger Point InjectionsMediumNo effective date · Medical PolicyState and School Employees' Health Insurance Plan - Rituximab Non-OncologyMediumNo effective date · Medical PolicyBrowse every Blue Cross & Blue Shield of Mississippi change in the policy list

Related policy hubs

Blue Cross & Blue Shield of Mississippi policiesRheumatologyCode 86200Code M05.00Code M08.99Code M12.00Code M12.09Code M08.9ACode M25.50Code M25.579Code M25.59Code M25.60Code M25.676Code M25.69

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Policy MonitoringPayer policy, prior auth and coding changes, filtered to your saved searchesOIG ScreeningStaff and vendors screened every month against OIG LEIE, SAM.gov and state Medicaid listsPrior Auth LookupKnow if a service needs prior authorization before you schedule itCredentialing TrackerLicenses, CAQH, Medicare revalidation and payer enrollments, with reminders before anything lapsesCompliance CenterKeep your HIPAA program documented and ready to show
Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account