Start free

PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
Blue Cross Blue Shield of Rhode IslandAll Plans · Administrative · Facility · RI · Orthopedics, Cardiology, Neurosurgery +4 moreHigh impact

New Payment Policy: Device Intensive Procedure Edit

Act
by Aug 15, 2026
Effective date
Aug 15, 2026
Identified
Jun 19, 2026

Summary

Starting August 15, 2026, outpatient facility claims for device intensive procedures must include a corresponding device procedure code on the same claim for the same date of service, or the claim will be denied. This policy only applies to facility claims (UB-04 forms, bill types 13X or 76X) and does not affect physician office billing.

Get alerts when payers change rules like this one

We check Blue Cross Blue Shield of Rhode Island and other payers every day and email you when a change matches your specialty and state.

Get Blue Cross Blue Shield of Rhode Island alertsPolicy Monitoring is free. No card required.

What to do

by Aug 15, 2026 · 4 steps
01Facility billing team must update billing system to require corresponding device procedure codes when billing for device intensive procedures on outpatient facility claims (UB-04, bill types 13X or 76X).
02Create billing edits to ensure device codes are included on the same claim for the same date of service.
03Train staff to use appropriate modifiers for reduced, discontinued, or terminated procedures.
04Claims without corresponding device codes will be denied.

Original notice

New Payment Policy: Device Intensive Procedure Edit
bcbsri.com · Always check the source before changing claims.
View original ↗

Related policy hubs

Blue Cross Blue Shield of Rhode Island policiesRI policy changesOrthopedicsCardiologyNeurosurgeryVascular SurgeryOphthalmologyUrologyGeneral Surgery

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Policy MonitoringPayer policy, prior auth and coding changes, filtered to your saved searchesOIG ScreeningStaff and vendors screened every month against OIG LEIE, SAM.gov and state Medicaid listsPrior Auth LookupKnow if a service needs prior authorization before you schedule itCredentialing TrackerLicenses, CAQH, Medicare revalidation and payer enrollments, with reminders before anything lapsesCompliance CenterKeep your HIPAA program documented and ready to show
Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account