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CommercialCoverageMedium impact

Policy Criteria Change

Arkansas Blue Cross Blue Shield·AR · Urology·Medical Policy
Effective date
Apr 15, 2026
We identified it
Jun 19, 2026
Days to comply

Summary

Arkansas Blue Cross is changing CPT code 52284 from non-covered to restricted coverage under their Medical Technology Assessment policy. This means the procedure will now have coverage with certain restrictions rather than being completely excluded.

Action Required

Action needed
Before April 15, 2026: Billing team must update system to reflect that CPT 52284 now has restricted coverage instead of non-covered status for Arkansas Blue Cross members. Review full policy at provided link to understand specific coverage restrictions and requirements. Update encounter forms and staff training materials accordingly.

Affected Billing Codes

52284