Medicare AdvantageCoverageMedium impact
UPDATE Regarding Additional CPT® Code Changes for July 2024
Blue Cross Blue Shield of Rhode Island·RI·Physician / Facility
Effective date
Jul 1, 2024
We identified it
Jun 19, 2026
Summary
Blue Cross & Blue Shield of Rhode Island has updated three Category III CPT codes (0876T, 0899T, 0900T) for July 2024. These codes require medical review for Medicare Advantage plans and are considered not medically necessary for Commercial products, meaning claims will likely be denied for commercial patients.
Action Required
Immediately: Billing team must flag CPT codes 0876T, 0899T, and 0900T in billing system to require medical review for Medicare Advantage claims and avoid billing to Commercial products as they are deemed not medically necessary. Update encounter forms to alert providers that these emerging technology codes require additional documentation for Medicare Advantage and should not be billed to commercial payers to prevent denials.