Summary
This policy contains three updates: (1) Telemedicine modifier claims (93, 95, FQ, GT) will be denied if billed with place of service codes other than 02 or 10, effective 9/1/26; (2) Thirteen new codes (A9574, C8014, G0574-G0678) are added as non-reimbursable for Commercial and Medicare Advantage plans effective 7/1/26; (3) Three COVID-19 treatment codes (M0231, M0232, Q0234) are added as covered and separately reimbursed effective 7/1/26.
Get alerts when payers change rules like this one
We check Blue Cross Blue Shield of Rhode Island and other payers every day and email you when a change matches your specialty and state.
Get Blue Cross Blue Shield of Rhode Island alertsPolicy Monitoring is free. No card required.
What to do
Action · 11 steps
01IMMEDIATE - Three separate actions required.
02By September 1, 2026: Billing team must implement system edit to deny all claims containing telemedicine modifiers (93, 95, FQ, GT) if place of service is anything other than 02 or 10.
03Update provider education materials and encounter forms to clarify modifiers are only for telemedicine services.
04Providers submitting incorrect combinations will experience claim denials.
05By July 1, 2026: Billing team must add codes A9574, C8014, and G0574-G0678 to the NSR (non-reimbursable) list in billing system for Commercial and Medicare Advantage plans.
06Configure system to deny claims with these codes automatically.
07Update fee schedules and encoder software.
08By July 1, 2026: Billing team must activate reimbursement for codes M0231, M0232, and Q0234 in billing system for all lines of business.
09Configure these as separately payable administration codes and monoclonal antibody service code.
10Update fee schedules and provider communications.
11Billing software must reflect these changes in all three plan types before effective dates or claims will be denied or rejected.
Codes mentioned
A9574C8014G0574G0575G0669G0670G0671G0672G0673G0674G0675G0676G0677G0678M0231M0232Q0234
Original notice
Payment Policy Updates
bcbsri.com · Always check the source before changing claims.
Related changes
See all Blue Cross Blue Shield of Rhode Island changes →Additional HCPCS Level II Code Changes and Modifier ChangesHighEffective Jul 1, 2026 · Physician / FacilityPayment policy updatesHighEffective Jan 1, 2027 · Physician / FacilityPayment policy updatesHighEffective Oct 1, 2026 · Physician / FacilityPayment Policy UpdatesHighEffective Oct 1, 2026 · Physician / FacilityBrowse every Blue Cross Blue Shield of Rhode Island change in the policy list