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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 and HEDIS gap closure. While these codes are not reimbursed, submitting them reduces medical record review burden and helps document preventative care services.

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What to do

immediately · 3 steps
01Billing team should begin submitting CPT Category II codes with claims to support HEDIS quality reporting.
02Update billing software to include Category II codes alongside primary procedure codes.
03Contact Quality Department at QualityHEDIS@bcbsri.org for questions about implementation.

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 · PhysicianHints for HEDIS® (and more)MediumEffective Jun 1, 2020 · PhysicianHints for HEDIS® (and more)MediumEffective Aug 1, 2020 · PhysicianBrowse every Blue Cross Blue Shield of Rhode Island change in the policy list

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