Start free

PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
Blue Cross Blue Shield of Rhode IslandCommercial · Administrative · Physician · RIMedium impact

CPT® Category II Codes

Act
immediately
Effective date
Not stated in the notice
Identified
Jun 20, 2026

Summary

BCBSRI now accepts CPT Category II codes for quality reporting to reduce HEDIS medical record review burden. These codes are not reimbursed but help close care gaps through claims data and can be submitted immediately for current and past dates of service.

Get alerts when payers change rules like this one

We check Blue Cross Blue Shield of Rhode Island and other payers every day and email you when a change matches your specialty and state.

Get Blue Cross Blue Shield of Rhode Island alertsPolicy Monitoring is free. No card required.

What to do

immediately · 4 steps
01Billing team should begin submitting CPT Category II codes with claims to reduce HEDIS review burden.
02Train staff on quality tracking codes available.
03Contact QualityHEDIS@bcbsri.org for questions.
04Watch for upcoming webinar in provider portal by end of October for additional guidance on Category II and ICD-10-CM codes for preventive services.

Original notice

CPT® Category II Codes
bcbsri.com · Always check the source before changing claims.
View original ↗

Related changes

See all Blue Cross Blue Shield of Rhode Island changes →
September 2017MediumNo effective date · Provider UpdateCPT Category II CodesMediumNo effective date · PhysicianBrowse every Blue Cross Blue Shield of Rhode Island change in the policy list

Related policy hubs

Blue Cross Blue Shield of Rhode Island policiesRI policy changes

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Policy MonitoringPayer policy, prior auth and coding changes, filtered to your saved searchesOIG ScreeningStaff and vendors screened every month against OIG LEIE, SAM.gov and state Medicaid listsPrior Auth LookupKnow if a service needs prior authorization before you schedule itCredentialing TrackerLicenses, CAQH, Medicare revalidation and payer enrollments, with reminders before anything lapsesCompliance CenterKeep your HIPAA program documented and ready to show
Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account