CommercialBilling CodesMedium impact
Sexually Transmitted Infections Testing - New Policy
Blue Cross Blue Shield of Rhode Island·RI · Family Medicine, Internal Medicine, OB-GYN +2 more·Physician / Facility
Effective date
Aug 4, 2025
We identified it
Jun 19, 2026
Summary
BCBSRI is implementing a new STI testing policy effective August 4, 2025, requiring providers to bill comprehensive code 87801 when performing multiple single STI tests on the same date instead of billing individual test codes separately. Some STI codes may process at preventive benefit levels based on diagnosis codes used.
Action Required
Before August 4, 2025: Billing team must update billing system rules to automatically bill CPT 87801 when two or more STI single tests (87491, 87591, 87661) are performed on the same date by the same provider. Update encounter forms and train staff that BCBSRI will reimburse the comprehensive code 87801 instead of multiple single test codes. Ensure proper diagnosis codes are used for preventive screening to maximize reimbursement for chlamydia and gonorrhea tests.