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Blue Cross Blue Shield of Rhode IslandCommercial · Administrative · Physician · RI · Family Medicine, Internal Medicine, General Practice +1 moreMedium impact

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Effective date
Jan 1, 2022
Identified
Jun 19, 2026

Summary

BCBS Rhode Island updated their 2022 PCP Quality Incentive Program with new measures including Adolescent Well-Care Visits (ages 12-21) and removed Weight Assessment/Nutrition measures. Lead screening was added as a standalone bonus measure, and diabetes care measures were renamed for NCQA alignment.

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What to do

Action · 3 steps
01Billing team should ensure proper coding for adolescent well-care visits (ages 12-21) using the specified CPT, HCPCS, and ICD-10 codes to support quality measure reporting.
02Update encounter forms and EMR templates to capture adolescent preventive visits with appropriate codes.
03Review current lead screening documentation processes for the new standalone bonus measure.

Codes mentioned

9938199382993839938499385993919939299393993949939599461G0438G0439S0302S0610S0612S0613Z00.00Z00.01Z00.110Z00.111Z00.121Z00.129Z00.2Z00.3Z01.411Z01.419Z02.5Z76.1Z76.2

Original notice

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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 →
COVID-19 Related Policy Updates Regarding the Public Health Emergency EndingHighEffective May 12, 2023 · Provider UpdatePolicy updatesHighEffective Sep 1, 2023 · Physician / FacilityInitial annual wellness examination for BlueCHiP for Medicare membersMediumEffective Oct 1, 2019 · Physician / FacilityNovember - December 2017MediumEffective Jan 1, 2018 · Provider UpdateBrowse 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 changesFamily MedicineInternal MedicineGeneral PracticePediatricsCode 99381Code 99382Code 99383Code 99384Code 99385Code 99391Code 99392Code 99393Code 99394Code 99395Code 99461Code G0438Code G0439Code S0302Code S0610Code S0612Code S0613Code Z00.00Code Z00.01Code Z00.110Code Z00.111Code Z00.121Code Z00.129Code Z00.2Code Z00.3Code Z01.411Code Z01.419Code Z02.5Code Z76.1Code Z76.2

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