Medicare AdvantageBilling CodesMedium impact
CPT code changes
Blue Cross Blue Shield of Rhode Island·RI·Physician / Facility
Effective date
Oct 1, 2020
We identified it
Jun 19, 2026
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.
Action Required
Immediately: Billing 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). Stop billing V2524 as it is not covered. Do not bill Q4249, Q4250, Q4254, Q4255 separately for institutional providers as they are bundled into other services.