- P = Professional
- B = Behavioral health
- F = Facilities
Policies
P F
Feb 1, 2025
Coding and Payment Guidelines/Modifiers Effective, January 1, 2025, modifier 27 has been added ...
P F
Feb 1, 2025
Corneal Topography, Computer Assisted Corneal Topography, PhotokeratoscopyEffective April 1, 2025, C...
P F
Feb 1, 2025
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
Feb 1, 2025
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Jan 1, 2025
2025 Chimeric Antigen Receptor (CAR) T-cell Therapy for CancersTemporary T-Codes have been deleted a...
P
Jan 1, 2025
We have completed our review of the January 2025 Healthcare Common Procedure Coding System (HCPCS) c...
P
Jan 1, 2025
Prior Authorization via Web Based Tool for Durable Medical Equipment (DME) &n...
P F
Jan 1, 2025
The following policies were recently reviewed for annual update. The full texts of these policies ar...
B F
Jan 1, 2025
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Dec 5, 2024
UPDATE 12/5/2024 *CPT codes 0913T, 0914T, 0915T, 0916T, 0917T, 0918T, 0923T, 0933T will not req...
P F
Dec 1, 2024
We have completed our review of the January 2025 CPT code changes, including any category II perform...
P F
Dec 1, 2024
Arthrotomy for Temporomandibular Joint (TMJ) Evaluation of Hearing Impairment or Loss &nbs...
P F
Dec 1, 2024
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
Dec 1, 2024
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Nov 18, 2024
We have completed our review of the January 2025 current procedural terminology (CPT) including any ...
F
Nov 1, 2024
The following payment guidelines are applicable to local in-network facilities only that are reimbur...
P
Nov 1, 2024
BCBSRI is committed to supporting primary care providers and is excited to announce additional reimb...
P F
Nov 1, 2024
Arthrotomy for Temporomandibular Joint (TMJ) Effective January 1, 2025, CPT code 21010 wil...
P F
Nov 1, 2024
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Nov 1, 2024
The following new policies have been created. Effective dates vary so please review the full text of...
P B F
Nov 1, 2024
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Oct 1, 2024
We have completed our review of the October 2024 Healthcare Common Procedure Coding System (HCPCS) c...
P F
Oct 1, 2024
Telemedicine Telephone Services for Commercial Products & Medicare Advantage PlansEffective Janu...
P F
Oct 1, 2024
Biomarker Testing in Risk Assessment and Management of Cardiovascular DiseaseEffective December 1, 2...