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CPT Category II Codes

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

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.

Action Required

Action needed
Immediately: Billing team should begin submitting CPT Category II codes with claims to support HEDIS quality reporting. Update billing software to include Category II codes alongside primary procedure codes. Contact Quality Department at QualityHEDIS@bcbsri.org for questions about implementation.

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