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Arkansas Blue Cross Blue ShieldCommercial · Coverage · Medical Policy · AR · UrologyMedium impact

Policy Criteria Change

Effective date
Apr 15, 2026
Identified
Jun 19, 2026

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.

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What to do

Action · 3 steps
01Before 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.
02Review full policy at provided link to understand specific coverage restrictions and requirements.
03Update encounter forms and staff training materials accordingly.

Codes mentioned

52284

Original notice

Policy Criteria Change
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