Medicare AdvantageBilling CodesHigh impact
CPT code changes
Blue Cross Blue Shield of Rhode Island·RI·Physician / Facility
Effective date
Jul 1, 2023
We identified it
Jun 19, 2026
Summary
Blue Cross Blue Shield of Rhode Island updated CPT codes effective July 1, 2023, establishing new coverage and payment rules for 34 new codes. Most codes are either not medically necessary for commercial products or require medical review for Medicare Advantage plans.
Action Required
Immediately: Billing team must update claims processing system with new CPT code rules - configure codes 0387U, 0389U-0401U, 0793T-0797T, 0804T-0810T as 'not medically necessary' for commercial products and 'subject to medical review' for Medicare Advantage. Set codes 0388U, 0798T-0803T as 'subject to medical review' for both plan types. Configure 0791T as 'covered but not separately reimbursed' for Medicare Advantage and 'not medically necessary' for commercial. Block code 0792T as 'not covered' for all plans. Update encounter forms to alert providers about non-covered services notification requirements.