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Medical policy updates
Act
by Jun 1, 2026
Effective date
Jun 1, 2026
Identified
Jun 19, 2026
Summary
Multiple policy changes effective June 1, 2026, including coverage expansions for remote electrical neuromodulation for migraines and diabetic retinal screening, new prior authorization requirements for bariatric procedures, and updates to genetic testing criteria. Several CPT codes are being moved between policies or having their coverage status changed.
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What to do
by Jun 1, 2026 · 5 steps
01Billing team must update system to reflect new coverage for CPT 92228 and 92229 for diabetic retinopathy screening in commercial plans.
02Update prior authorization requirements for CPT 0601T (all plans) and CPT 43847 for bariatric procedures.
03Remove CPT 55877 from focal prostate treatment policy and add to IRE tumor policy.
04Update genetic testing codes 81462, 81463, 81464 to use unlisted genetic testing criteria.
05Verify coverage changes for remote electrical neuromodulation services.
Codes mentioned
92228922295587781462814638146443847
Original notice
Medical policy updates
bcbsri.com · Always check the source before changing claims.
Related changes
See all Blue Cross Blue Shield of Rhode Island changes →Policy updatesHighEffective Jun 1, 2024 · Physician / FacilityMedical policy updatesHighEffective Aug 1, 2025 · Physician / FacilityMedical policy updatesHighEffective Sep 1, 2024 · Physician / FacilityJuly 2017MediumNo effective date · Provider UpdateBrowse every Blue Cross Blue Shield of Rhode Island change in the policy list