All PlansBilling CodesHigh impact
Payment Policy Updates
Blue Cross Blue Shield of Rhode Island·RI·Physician / Facility
Effective date
Jul 1, 2025
We identified it
Jun 19, 2026
Summary
Multiple billing code updates effective July 1, 2025: 5 new immunization codes added, 4 codes deleted, 13 codes marked as non-reimbursable, new modifier requirements for off-campus institutional claims, and modifier 27 added for multiple outpatient E/M encounters.
Action Required
By July 1, 2025: Billing team must update system to include new immunization codes 90382, 90612, 90613, 90635, 91323. Remove deleted codes C9300, G9037, G9038, M0248 from billing system. Flag 13 T-codes as non-reimbursable (10 for all payers, 3 Medicare-only). Update UB-04 claims to require modifiers PO and PN for off-campus institutional services. Add modifier 27 for multiple outpatient E/M encounters on same date.