Summary
Multiple policy updates from BCBSRI affecting behavioral health integration services, laboratory analyses, transitional care management, and vitamin D testing. Key changes include expanded coverage for CPT 99484 for commercial members, new reimbursement for transitional care codes for Medicare only, and restricted coverage for vitamin D testing requiring specific diagnosis codes.
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What to do
by Jul 1, 2019 · 4 steps
01Update billing system to restrict CPT codes 82306 and 82562 (Vitamin D Testing) to only specific ICD-10 diagnosis codes for commercial members.
02Billing team must verify diagnosis code requirements before submitting claims.
03For Medicare members, update system to allow separate reimbursement for CPT 99495 and 99496 (Transitional Care Management).
04For commercial members with behavioral health integration services, ensure CPT 99484 approval is obtained from BCBSRI before billing.
Codes mentioned
9948499495994968230682562
Original notice
Policy Updates
bcbsri.com · Always check the source before changing claims.
Related changes
See all Blue Cross Blue Shield of Rhode Island changes →Policy UpdatesHighEffective Jan 1, 2023 · Physician / FacilityFollow-up care after hospitalizationMediumEffective Apr 1, 2024 · PhysicianTransitional Care Management, Chronic Care Management, and Principal Care Management servicesMediumEffective Jan 1, 2025 · PhysicianTransitional Care Management, Chronic Care Management, and Principal Care Management servicesHighEffective Jan 1, 2025 · Physician / FacilityBrowse every Blue Cross Blue Shield of Rhode Island change in the policy list