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Blue Cross Blue Shield of Rhode IslandCommercial · Coverage · Physician · RI · Family Medicine, Internal Medicine, General Practice +2 moreMedium impact

Transitional Care Management, Chronic Care Management, and Principal Care Management services

Act
by Dec 31, 2024
Effective date
Jan 1, 2025
Identified
Jun 19, 2026

Summary

BCBSRI will begin covering and separately reimbursing nine Transitional Care Management, Chronic Care Management, and Principal Care Management codes (99495, 99496, 99424, 99425, 99426, 99427, 99490, 99439, G0506) starting January 1, 2025. Four related codes (99437, 99487, 99489, 99491) will remain non-reimbursable.

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What to do

by Dec 31, 2024 · 3 steps
01Billing team must update BCBSRI contracts in billing system to add newly covered codes 99495, 99496, 99424, 99425, 99426, 99427, 99490, 99439, and G0506 as separately reimbursable under office visit category.
02Verify codes 99437, 99487, 99489, and 99491 remain marked as non-reimbursable.
03Update encounter forms to reflect these changes for primary care providers.

Codes mentioned

9949599496994249942599426994279949099439G050699437994879948999491

Original notice

Transitional Care Management, Chronic Care Management, and Principal Care Management services
bcbsri.com · Always check the source before changing claims.
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Related changes

See all Blue Cross Blue Shield of Rhode Island changes →
Transitional Care Management, Chronic Care Management, and Principal Care Management servicesHighEffective Jan 1, 2025 · Physician / FacilityTransitional care management, chronic care management, and principal care management servicesMediumEffective Jan 1, 2025 · PhysicianTransitional care management, chronic care management, and principal care management servicesHighEffective Jan 1, 2025 · PhysicianCPT code changesHighEffective Jan 1, 2022 · Physician / FacilityBrowse every Blue Cross Blue Shield of Rhode Island change in the policy list

Related policy hubs

Blue Cross Blue Shield of Rhode Island policiesRI policy changesFamily MedicineInternal MedicineGeneral PracticePediatricsGeriatricsCode 99495Code 99496Code 99424Code 99425Code 99426Code 99427Code 99490Code 99439Code G0506Code 99437Code 99487Code 99489Code 99491

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