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Additional CPT and HCPCS Level II code changes
Act
immediately
Effective date
Jan 1, 2019
Identified
Jun 20, 2026
Summary
Blue Cross Blue Shield of Rhode Island updated billing rules for specific HCPCS codes effective January 1, 2019. Several G-codes are no longer separately reimbursed, C9040 is not covered/not medically necessary, and C9044/C9045 require medical review for certain product lines.
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What to do
immediately · 4 steps
01Update billing system to stop separately billing codes G2001-G2009 and G2013-G2015 as they are bundled into other services.
02Remove C9040 from billing for BlueCHiP Medicare and mark as not medically necessary for Commercial.
03Configure prior authorization requirements for C9044 (all products) and C9045 (Commercial only).
04Notify patients in advance about non-covered services per provider agreement requirements.
Codes mentioned
G2001G2002G2003G2004G2005G2006G2007G2008G2009G2013G2014G2015C9040C9044C9045
Original notice
Additional CPT and HCPCS Level II code changes
bcbsri.com · Always check the source before changing claims.
Related changes
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