• P = Professional
  • B = Behavioral health
  • F = Facilities

Policies

P
Apr 1, 2025
Allergy Immunotherapy Injections The above referenced policy was updated to clarify that BCBSRI...
P F
Apr 1, 2025
We have completed our review of the April 2025 Healthcare Common Procedure Coding System (HCPCS) cha...
P F
Apr 1, 2025
Prior authorization via web-based tool for Durable Medical Equipment (DME)Effective June 1, 2025, fo...
P F
Apr 1, 2025
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
Apr 1, 2025
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
F
Mar 1, 2025
2025 Coding and Payment Guidelines Modifiers Modifier 27 has been added to this policy. Modifie...
P F
Mar 1, 2025
Multitarget Polymerase Chain Reaction Testing for Diagnosis of Bacterial VaginosisEffective May 1, 2...
P F
Mar 1, 2025
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
Mar 1, 2025
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P
Feb 18, 2025
We have completed our review of the April 2025 current procedural terminology (CPT) including any ca...
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...