Medicare AdvantageBilling CodesMedium impact
Additional CPT® Code Changes
Blue Cross Blue Shield of Rhode Island·RI · Diagnostic Imaging·Physician / Facility
Effective date
Oct 1, 2024
We identified it
Jun 19, 2026
Summary
Blue Cross & Blue Shield of Rhode Island released October 2024 CPT code updates affecting coverage, reimbursement, and prior authorization requirements for numerous new CPT codes. Key changes include new covered codes, codes requiring medical review, and one code (0489U) that is not covered/not medically necessary.
Action Required
By October 1, 2024: Billing team must update system to implement coverage rules for new CPT codes. Configure prior authorization requirements for codes 0478U-0488U, 0490U-0520U. Set codes 0516U-0520U to bypass prior auth when billed with ICD-10 F01-F99 codes. Block billing of code 0489U for all plans. Update fee schedules to include newly covered codes 0476U, 0477U. Configure 90624 for pharmacy benefit only on Medicare Advantage plans.