Medicare AdvantageBilling CodesMedium impact
CPT code changes
Blue Cross Blue Shield of Rhode Island·RI · Neurology, Geriatrics, Internal Medicine +1 more·Physician / Facility
Effective date
Apr 1, 2024
We identified it
Jun 19, 2026
Summary
Blue Cross Blue Shield of Rhode Island has implemented April 2024 CPT code changes effective April 1, 2024, with new biomarker testing codes for Alzheimer Disease that are either not covered, require medical review, or are not separately reimbursed. The policy includes specific coverage determinations for both Medicare Advantage and commercial products.
Action Required
Immediately: Billing team must update system to mark codes 0443U and 0445U as not covered for Medicare Advantage and not medically necessary for commercial products. Configure codes 0439U, 0440U, 0444U, 0446U, 0447U, 0448U, 0449U to require medical review for both plan types. Set codes 0441U and 0442U as not separately reimbursed. Update encounter forms to alert providers about these Alzheimer biomarker testing code restrictions.