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CommercialAdministrativeLow impact

September 2017

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

Summary

BCBSRI is promoting the use of CPT Category II codes to close HEDIS care gaps through claims data rather than medical record reviews. While these codes are not reimbursed, submitting them can reduce administrative burden on practices by demonstrating quality measures compliance.

Action Required

Action needed
Immediately: Review attached CPT Category II codes list and consider implementing these codes in billing workflow to reduce HEDIS medical record review burden. Contact Courtney Reger at (401) 459-2763 for questions about quality initiatives.

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