CommercialBilling CodesMedium impact
February 2018
Blue Cross Blue Shield of Rhode Island·RI · Family Medicine, Internal Medicine, Endocrinology +3 more·Provider Update
Effective date
Feb 1, 2018
We identified it
Jun 20, 2026
Summary
BCBSRI introduces new CPT Category II code 3072F for diabetic eye exams negative for retinopathy to reduce HEDIS medical record review burden. The code is effective immediately and can be submitted for claims with older dates of service, though it is not reimbursed.
Action Required
Immediately: Billing team should update billing system to include CPT Category II code 3072F for diabetic eye exams that are negative for retinopathy. Train providers and coding staff that this code can be submitted for current and past dates of service but will not generate reimbursement. Update encounter forms and EMR templates to remind providers to use this code when appropriate to reduce HEDIS review requirements.