Summary
Blue Cross Blue Shield of Rhode Island has updated their claims processing system with October 2020 CPT and HCPCS code changes, effective October 1, 2020. The update includes specific coverage designations for various codes including medical review requirements, non-covered services, and non-separately reimbursed procedures.
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What to do
immediately · 3 steps
01Billing team must update claims processing to reflect new code designations - obtain prior authorization for codes 0015M, 0016M (BlueCHiP Medicare), J3241 (all products), and C9062, C9064, C9065, C9066, J1632, J3032, J9227, J9304 (commercial only).
02Stop billing V2524 as it is not covered.
03Do not bill Q4249, Q4250, Q4254, Q4255 separately for institutional providers as they are bundled into other services.
Codes mentioned
J3241C9062C9064C9065C9066J1632J3032J9227J9304V2524Q4249Q4250Q4254Q4255
Original notice
CPT code changes
bcbsri.com · Always check the source before changing claims.
Related changes
See all Blue Cross Blue Shield of Rhode Island changes →Changes being made to the Medical Drug Review (MDR) programMediumEffective Apr 1, 2022 · Physician / FacilityPayment Policy UpdatesHighEffective Oct 1, 2026 · Physician / FacilityCPT® and HCPCS Level II code changesMediumEffective Jul 1, 2018 · Physician / FacilityCPT® and HCPCS Level II code changesHighEffective Jan 1, 2019 · Physician / FacilityBrowse every Blue Cross Blue Shield of Rhode Island change in the policy list