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.
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What to do
by Jun 1, 2026 · 3 steps
01Billing 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.
02Update billing system rules, encounter forms, and provider communication accordingly.
03Determine if prior authorization is required and configure system to enforce requirements.
If missed: Failure to implement policy requirements may result in claim denials effective July 1, 2026.
Original notice
New policy
bcbsri.com · Always check the source before changing claims.