CommercialDocumentationMedium impact
April is Women’s Eye Health and Safety Month
Blue Cross Blue Shield of Rhode Island·RI · Ophthalmology, Optometry, Endocrinology +2 more·Physician
Effective date
Apr 1, 2023
We identified it
Jun 19, 2026
Summary
BCBSRI is emphasizing diabetic retinal eye exam quality measures for April Women's Eye Health and Safety Month. Providers must use specific CPT Category II codes (2022F-2026F, 2033F, 3072F) when billing for diabetic eye exams to close quality gaps and ensure proper documentation of retinopathy screening results.
Action Required
Immediately: Billing team must ensure CPT Category II codes 2022F, 2023F, 2024F, 2025F, 2026F, 2033F, and 3072F are used when billing diabetic retinal eye exams. Update encounter forms to remind eye care professionals to use these codes with the date of service of the eye exam. Providers must document retinopathy findings and use 3072F for 2023 dates of service when referencing 2022 eye exam results showing no retinopathy.