Medicare AdvantageCoverageHigh impact
Policy updates
Blue Cross Blue Shield of Rhode Island·RI · Ophthalmology, Pain Management, Neurology +4 more·Physician / Facility
Effective date
Mar 1, 2024
We identified it
Jun 19, 2026
Summary
Multiple policy changes effective March 1, 2024, including new CPT codes for glaucoma procedures requiring specific diagnosis codes, removal of prior authorization requirements for epidural injections, coverage changes for various procedures, and updates to mobile cardiac telemetry authorization requirements.
Action Required
By March 1, 2024: Billing team must update system to add CPT codes 66179, 66180, 66184, 66185 for glaucoma procedures with required ICD-10 diagnosis verification. Remove prior authorization requirements for epidural injection codes 62324, 62325, 62326, 62327. Update system to mark remote electrical neuromodulation and gastric POEM as non-covered. For mobile cardiac telemetry codes 93228 and 93229, switch from non-covered to requiring prior authorization for commercial plans only. Update encounter forms and staff training accordingly.