Non-Reimbursable Health Service Codes PolicyEffective October 1, 2026, the following codes have been...

2026 Home Health Care Services - Skilled Services This policy was updated to reflect that servi...

Laboratory Testing Investigational ServicesEffective December 1, 2026, CPT codes 0355U, 0362U, 0365U...

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

The following new policies were created. Please review the full text of these policies in the Provid...

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

We have completed our review of the October 2026 Healthcare Common Procedure Coding System (HCPCS) c...

We have completed our review of the October 2026 current procedural terminology (CPT) including any ...

2026 Home Health Care Services - Skilled Services This policy was updated to reflect that servi...

Molecular Testing in the Management of Pulmonary NodulesEffective November 1, 2026 all CPT codes in ...

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

The following new policy was created. Please review the full text of this policy in the Provider sec...

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

Telemedicine modifier - Claims edit effective September 1, 2026  We have identified claims...

Interferential Current StimulationEffective October 1, 2026, service will change from covered to not...

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

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

Telemedicine Modifier - Claims Edit Effective 9/1/26We have identified claims being submitted with i...

Prior authorization of spinal procedures Effective September 1, 2026, prior authorization throu...

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 t...

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

We have completed our review of the July 2026 Healthcare Common Procedure Coding System (HCPCS) chan...

Effective August 15, 2026, this policy is to ensure appropriate billing and reimbursement ...