Summary
Multiple policy updates effective June 1, 2023, including removal of coverage for electrical stimulation wound therapy for commercial plans, addition of CPT 43843 for bariatric surgery, changes to drug prior authorization codes, and coverage changes for digestive enzyme cartridges on Medicare Advantage plans.
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What to do
by Jun 1, 2023 · 2 steps
01Billing team must update systems to remove coverage for electrical stimulation wound therapy codes on commercial plans, add CPT 43843 to bariatric surgery coverage, update drug prior authorization requirements with new HCPCS codes (J9037 replaces C9069, Q2053 replaces C9073, J9332 replaces C9097), change CPT 0783T from prior auth to not covered for Medicare Advantage, add B4187 to covered enteral nutrition codes, move genetic testing codes 81418 and 81441 to web-based authorization tool, and flag Q0081 as 'Use Alternate Code'.
02Update encounter forms and billing software rules accordingly.
Codes mentioned
43843C9069J9037J9044C9073Q2053C9097J9332B41878141881441Q0081
Original notice
Policy updates
bcbsri.com · Always check the source before changing claims.
Related changes
See all Blue Cross Blue Shield of Rhode Island changes →CPT code changesHighEffective Jan 1, 2021 · Physician / FacilityCPT code changesMediumEffective Apr 1, 2021 · PhysicianCPT code changesHighEffective Jul 1, 2022 · Physician / FacilityCPT code changesHighEffective Jan 1, 2023 · Physician / FacilityBrowse every Blue Cross Blue Shield of Rhode Island change in the policy list