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Medicare AdvantageCoverageHigh impact

Additional HCPCS Level II Code Changes and Modifier Changes

Blue Cross Blue Shield of Rhode Island·RI·Physician / Facility
Effective date
Apr 1, 2026
We identified it
Jun 19, 2026
Days to comply

Summary

Blue Cross Blue Shield of Rhode Island updated HCPCS Level II code coverage and payment rules effective April 1, 2026. Multiple codes have new coverage designations including newly covered codes, non-covered codes, medical review requirements, and pharmacy benefit changes.

Action Required

Action needed
By April 1, 2026: Billing team must update claims processing system with new HCPCS coverage rules. Stop billing codes A8005, A8006, A9294 as they are now non-covered. Obtain prior authorization for codes C8007, C8008, C8011, C8012, C9309, J1553, J9003, J9278, J9601, Q5161, Q5162. Use Modifier 22 with code Q0238 for coverage. Route codes C1743, C8010, G0680, L2221 to medical review for Medicare Advantage plans. Update billing software to reflect pharmacy benefit only for code C9818. Notify members about non-covered services prior to rendering them to avoid billing issues.

Affected Billing Codes

Q0238
C8013
J0463
J1098
J1164
J8502
M0233
M0234
A8005
A8006
A9294
A2040
A2041
A2042
A2043
A2044
A2045
C8007
C8008
C8011
C8012
C9309
J1553
J9003
J9278
J9601
Q5161
Q5162
C9818
Q4418
Q4419
Q4421
Q4422
Q4423
Q4424
Q4425
Q4426
Q4427
Q4428
Q4429
Q4435
Q4436
Q4437
Q4438
Q4439
Q4440
C1743
C8010
G0680
L2221
A4318
A4479
A6548
L5992
G0681
G0682
G0683
G0684
J3404
J9183
J9277