CommercialBilling CodesMedium impact
Policy Criteria Change
Arkansas Blue Cross Blue Shield·AR · Family Medicine, Internal Medicine, General Practice +3 more·Medical Policy
Effective date
Apr 1, 2026
We identified it
Jun 19, 2026
Summary
Arkansas Blue Cross is consolidating all preventive services policies into one comprehensive policy (2026001) effective April 1, 2026. The consolidation adds new HCPCS codes for HIV pre-exposure prophylaxis and a CPT code for additional COVID-19 vaccine administration components, while archiving 50+ individual preventive service policies.
Action Required
By April 1, 2026: Billing team must update preventive services coding to use new consolidated policy 2026001. Add new HCPCS codes J0738, J0739, Q0521 for HIV pre-exposure prophylaxis and CPT 90481 for additional COVID-19 vaccine components to billing system for non-grandfathered plans. Update encounter forms and coding references to reflect policy consolidation. Verify billing system links to new consolidated policy document.