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, General Practice·Physician
Effective date
Nov 2, 2021
We identified it
Jun 19, 2026
Summary
BCBS Rhode Island introduced a temporary payment policy allowing billing of CPT code 99401 with CR modifier for COVID-19 pediatric vaccination counseling services for commercial members. This creates a new billable service for preventative medicine counseling related to pediatric COVID-19 vaccinations.
Action Required
Immediately: Billing team must update system to allow CPT code 99401 with CR modifier for COVID-19 pediatric vaccination counseling services for BCBS Rhode Island commercial members. Update encounter forms to include this option for providers offering pediatric COVID-19 vaccination counseling. Review full policy at BCBSRI Medical Policy page for complete coverage and coding requirements.