CommercialCoverageMedium impact
New policy
Blue Cross Blue Shield of Rhode Island·RI · Cardiology·Physician
Effective date
Jul 1, 2026
We identified it
Jul 1, 2026
Summary
BCBS Rhode Island has created a new medical policy effective July 1, 2026 regarding Intracoronary Drug Delivery Balloon procedures. The billing team must review the full policy text on the BCBSRI provider portal to understand coverage criteria, billing requirements, and any prior authorization needs for this cardiac intervention.
Action Required
By June 1, 2026: Billing team must access the full policy text in the Provider section of BCBSRI.com under the Medical Policy heading to identify specific CPT/HCPCS codes, coverage criteria, and prior authorization requirements for Intracoronary Drug Delivery Balloon procedures. Update billing system rules, encounter forms, and provider communication accordingly. Determine if prior authorization is required and configure system to enforce requirements. Failure to implement policy requirements may result in claim denials effective July 1, 2026.