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Additional CPT and HCPCS Level II code changes
Effective date
Jul 1, 2019
Identified
Jun 20, 2026
Summary
Blue Cross Blue Shield of Rhode Island updated CPT and HCPCS code coverage designations effective July 1, 2019. Multiple codes now require medical review or preauthorization, while others are not separately reimbursed or not medically necessary.
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What to do
Action · 3 steps
01Billing team must update system settings for BCBS Rhode Island: Obtain preauthorization before providing services with codes 0550T, J9356, Q5112-Q5115, C9049, C9050, C9052 for commercial products.
02Do not bill codes 0559T, 0560T, 0561T, 0562T, C9756 separately as they are bundled.
03Mark codes 0543T-0558T and 0084U-0104U as requiring medical review for BlueCHiP Medicare and not medically necessary for commercial products.
Codes mentioned
J9356Q5112Q5113Q5114Q5115C9049C9050C9052C9756
Original notice
Additional CPT and HCPCS Level II code changes
bcbsri.com · Always check the source before changing claims.
Related changes
See all Blue Cross Blue Shield of Rhode Island changes →Drugs moving from the specialty pharmacy benefit to the medical benefit 4/1/21HighEffective Apr 1, 2021 · PhysicianPayment 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