CommercialBilling CodesMedium impact
TEMPORARY COVID-19 Pediatric Vaccination Preventative Medicine Counseling Services for Commercial Members Payment Policy
Blue Cross Blue Shield of Rhode Island·RI · Pediatrics, Family Medicine·Physician
Effective date
Nov 2, 2021
We identified it
Jun 19, 2026
Summary
BCBSRI implemented a temporary payment policy for COVID-19 pediatric vaccination counseling services effective November 2, 2021. The policy covers CPT code 99401 when filed with the CR modifier for preventive medicine counseling related to COVID-19 vaccines for pediatric patients on commercial plans.
Action Required
Immediately: Billing team must update system to bill CPT code 99401 with CR modifier for COVID-19 pediatric vaccination counseling services for BCBSRI commercial members. Update encounter forms to remind providers to use this specific code combination. Reference BCBSRI's COVID-19 Vaccination Policy for vaccine administration coding guidance.