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CPT® Category II Codes

Blue Cross Blue Shield of Rhode Island·RI·Physician
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

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.

Action Required

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

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