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Blue Cross Blue Shield of Rhode IslandMedicare Advantage · Billing Codes · Physician / Facility · RIMedium impact

CPT code changes

Act
by Jul 1, 2025
Effective date
Jul 1, 2025
Identified
Jun 19, 2026

Summary

Blue Cross Blue Shield of Rhode Island has completed their review of July 2025 CPT code changes and will implement updates to their claims processing system effective July 1, 2025. The update includes new codes with various coverage designations including covered/reimbursed codes, not covered services, and codes requiring medical review.

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What to do

by Jul 1, 2025 · 3 steps
01Billing team must update system to recognize new CPT codes 90382, 91323, 90635, 90612, and 90613 as covered and separately reimbursed for both professional and institutional providers.
02Review complete CPT code list when available to identify codes marked as 'Not Covered', 'Not Medically Necessary', 'Subject to Medical Review', or 'Invalid' and update billing rules accordingly.
03Contact Medical.Policy@bcbsri.org with any coverage questions.

Codes mentioned

9038291323906359061290613

Original notice

CPT code changes
bcbsri.com · Always check the source before changing claims.
View original ↗

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