We have updated the verbiage in this policy to read: BCBSRI requires claims for lactation consultati...

  Effective 11/1/2025, this policy will be updated to include Fully-Funded Commercial Products....

Prior authorization via web-based tool for proceduresEffective October 1, 2025, the following CPT/HC...

The following policies were recently reviewed for annual update. The full texts of these policies ar...

BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...

Laboratory Tests Post Transplant and for Heart Failure Effective August 1, 2025:   CP...

The following policies were recently reviewed for annual update. The full texts of these policies ar...

The following new medical policy was created: Acute Hepatitis Panel – Effective October 1, 2025...

BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...

We have completed our review of the October 2025 CPT code changes, including any category II perform...

We have completed our review of the October 2025 current procedural terminology (CPT) including any ...

We have completed our review of the July 2025 CPT code changes, including any category II performanc...

Immunizations Adult and Pediatric Policy Effective July 1, 2025, there are five new codes that ...

Behavioral Health Outpatient Professional ServicesEffective July 1, 2025, clarifications for provide...

The following policies were recently reviewed for annual update. The full texts of these policies ar...

The following new policy was created. Effective dates vary so please review the full text of this po...

BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...

We have completed our review of the July 2025 CPT code changes, including any category II performanc...

We have completed our review of the July 2025 Healthcare Common Procedure Coding System (HCPCS) chan...

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

Emergency Department Outpatient Facility Evaluation and Management Coding This policy was updat...

Laboratory Testing Investigational ServicesEffective August 1, 2025, CPT codes 0371U, 0372U, 0373U, ...

The following policies were recently reviewed for annual update. The full texts of these policies ar...

The following new policies were created. Effective dates vary so please review the full text of thes...