This is a newly created payment policy which will go into effect on 4 de agosto, 2025. This new policy outlines 

• the reimbursement guidelines for the use of nucleic acid (DNA or RNA) assays to detect Sexually Transmitted Infections (STIs).

There are four codes within this policy:

For Single Tests, the following procedure codes are applicable: 

• 87491 for Chlamydia testing.

• 87591 for Gonorrhea testing.

• 87661 for Trichomonas vaginalis testing. 

When more than one single test is performed, the comprehensive test code is to be charged:

• 87801 designed for detecting infectious agents involving multiple organisms through nucleic acid analysis.

BCBSRI will reimburse the more comprehensive, CPT code 87801 when two or more single tests   are billed separately by the same provider on the same date of service.  The installment of this policy will promote savings.

Please note, two of the STI codes appear in the Preventive Policies for both Medicare Advantage and Commercial.

• 87491 for Chlamydia testing.

• 87591 for Gonorrhea testing. 

For the services to be processed at the preventive benefit are based on the Dx codes.   When the preventive Dx code is not on the claim, the services will be processed as laboratory services. For additional details related to this policy, please click here.