Medicare AdvantageBilling CodesMedium impact
CPT® and HCPCS Level II code changes
Blue Cross Blue Shield of Rhode Island·RI·Physician / Facility
Effective date
Jul 1, 2018
We identified it
Jun 20, 2026
Summary
Blue Cross Blue Shield of Rhode Island updated CPT and HCPCS codes effective July 1, 2018, with specific October 2018 updates designating 18 new CPT codes as not covered/not medically necessary and 10 HCPCS codes as not separately reimbursed. Several codes now require medical review for commercial products.
Action Required
Immediately: Billing team must update system to mark CPT codes 0062U-0079U as not covered for BlueCHiP Medicare and not medically necessary for Commercial. Configure HCPCS codes G9978-G9987 as not separately reimbursed. Set up medical review requirements for codes Q5108, Q5110, and C9033 for Commercial products. Notify members about non-covered services prior to rendering them to avoid claim denials.