Medicare AdvantageCoverageMedium impact
Additional CPT and HCPCS Level II code changes
Blue Cross Blue Shield of Rhode Island·RI·Physician / Facility
Effective date
Apr 1, 2020
We identified it
Jun 19, 2026
Summary
BCBS Rhode Island updated their claims processing system with additional CPT and HCPCS code changes effective April 1, 2020. The update includes specific coverage and payment rules for various code categories including 'Not Covered', 'Not Medically Necessary', and 'Subject to Medical Review' designations.
Action Required
Immediately: Update billing system to mark codes 0163U, 0164U, 0165U, 0166U, 0167U, 0168U, 0169U, 0170U, 0171U, and 0014M as not covered for BCBS Rhode Island BlueCHiP Medicare and commercial products. Billing team must notify members about non-covered services prior to rendering them as required by participating provider agreement.