We have completed our review of one additional new Healthcare Common Procedure Coding System (HCPCS) code. This update will be added to our claims processing system and is effective 6 de julho, 2023. The list includes this code, which has special coverage or payment rules for standard Products. (Some employers may customize their benefits.) We have included this HCPCS code for a service that is:

• “Subject to medical review" – preauthorization is recommended for Commercial Products and required for Medicare Advantage Plans.

Please submit your comments and concerns regarding coverage and payment designations to:

Blue Cross & Blue Shield of Rhode Island

Attention: Medical Policy, HCPCS Review

500 Exchange Street

Providence, Rhode Island 02903

Please note that as a participating provider, it is your responsibility to notify members about non-covered services prior to rendering them.

6 de julho, 2023 HCPCS Update:

Please note: Coverage and/or payment rules for code(s) below may be subject to change for Medicare Advantage Plans and/or Commercial Products.

The following code is subject to medical review for Professional and Institutional providers for Medicare Advantage Plans and Commercial Products:

J0174