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Blue Cross Blue Shield of Rhode IslandMedicare Advantage · Prior Auth · Physician / Facility · RI · Dermatology, Oncology, Urology +6 moreHigh impact

Updated Policies (outside of Annual review)

Act
by Aug 1, 2022
Effective date
Aug 1, 2022
Identified
Jun 19, 2026

Summary

BCBS RI updated multiple medical policies effective August 1, 2022, with significant changes including new prior authorization requirements for several procedures, coverage expansions for corneal cross-linking and hypoglossal nerve stimulation, and addition of new billing codes across various specialties.

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What to do

by Aug 1, 2022 · 5 steps
01Billing team must update systems to require prior authorization for CPT codes 55880, 64582, and 64583 for Medicare Advantage plans, and codes 64582 and 64583 for commercial plans.
02Add new codes A2001, E2102, A4238, A9595, 87913, 91309, and 0094A to billing systems.
03Update encounter forms to reflect corneal collagen cross-linking (0402T) now requires prior auth for both plan types.
04Configure web-based prior authorization tool for affected procedures.
05Claims without proper authorization will be denied.

Codes mentioned

A2001558806458264583E2102A4238A95958791391309

Original notice

Updated Policies (outside of Annual review)
bcbsri.com · Always check the source before changing claims.
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Related changes

See all Blue Cross Blue Shield of Rhode Island changes →
CPT code changesHighEffective Apr 1, 2022 · Physician / FacilityCPT code changesHighEffective Jan 1, 2021 · Provider UpdateMHK UpdatesMediumEffective Mar 1, 2024 · Physician / FacilityBrowse every Blue Cross Blue Shield of Rhode Island change in the policy list

Related policy hubs

Blue Cross Blue Shield of Rhode Island policiesRI policy changesDermatologyOncologyUrologyOphthalmologySleep MedicineOB-GYNEndocrinologyRadiologyFamily MedicineCode A2001Code 55880Code 64582Code 64583Code E2102Code A4238Code A9595Code 87913Code 91309

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