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CommercialPrior AuthMedium impact

CPT Code C8908

Blue Cross Blue Shield of Rhode Island·RI · Radiology, Diagnostic Imaging·Facility
Effective date
Oct 1, 2020
We identified it
Jun 19, 2026
Days to comply

Summary

Effective October 1, 2020, BCBSRI moved CPT Code C8908 to separately reimbursed status for facilities, with pricing based on CPT 77049. Prior authorization through eviCore is now required as this MRI code is classified as a high-tech SmartChoice service.

Action Required

Action needed
Billing team must update system to require prior authorization through eviCore for CPT C8908 (MRI). Configure billing software to price C8908 based on CPT 77049 rates for BCBSRI facility claims. Update encounter forms to alert staff that prior auth is mandatory for this high-tech imaging service.

Affected Billing Codes

C8908
77049