CMS released a new code J0175 effective 2 de julhond, 2024. These updates will be added to our claims processing system and are effective 2 de julhond, 2024.
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.
Revised 20 de julho24 HCPCS Updates:
Please note: Coverage and/or payment rules for code(s) below may be subject to change for Medicare Advantage Plans and/or Commercial Products.
Commercial Products:
New HCPCS Code J0175 will be not covered for Institutional and Professional providers for Commercial Products effective for dates 02/07/2024 through 30/09/2024.
Effective starting on 01/10/2024, J0175 will be subject to medical review for both Professional and Institutional providers (Pharmacy Benefit) for Commercial Products.
Medicare Advantage Plans:
New HCPCS Code J0175 will be covered and separately reimbursed for Institutional and Professional providers for Medicare Advantage Plans, effective for dates 02/07/2024 through 31/07/2024.
Effective starting on 01/08/2024, HCPCS Code J0175 will be subject to medical review for Professional and Institutional providers (Pharmacy Benefit) for Medicare Advantage Plans.