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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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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