Medicare AdvantageCoverageMedium impact
CPT code changes
Blue Cross Blue Shield of Rhode Island·RI·Physician / Facility
Effective date
Oct 1, 2022
We identified it
Jun 19, 2026
Summary
Blue Cross Blue Shield of Rhode Island has implemented October 2022 CPT code changes affecting coverage determinations for multiple laboratory codes. Twenty specific codes now require medical review for Medicare Advantage plans and are deemed not medically necessary for commercial products, while two codes are not covered at all.
Action Required
Billing team must update system settings to flag codes 0332U-0338U and 0342U-0354U for prior authorization requirements on Medicare Advantage plans and mark as not covered for commercial plans. Codes 0339U and 0340U should be blocked for both plan types. Code 0341U can be billed normally. Update encounter forms to alert providers about coverage restrictions for these laboratory codes.