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

Policies

P F
Apr 1, 2026
BCBSRI is adding two intraocular lens (IOL) surgery CPT codes: 66989 and 66991 for Medicare Advantag...
P F
Apr 1, 2026
Effective May 1, 2026 the following codes will be added to the above referenced policy for professio...
P F
Apr 1, 2026
We have completed our review of the April 2026 Healthcare Common Procedure Coding System (HCPCS) cha...
P F
Apr 1, 2026
 Oral Nutrition Mandate Effective June 1, 2026, the medical criteria for milk/soy protein ...
P F
Apr 1, 2026
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Apr 1, 2026
The following new policies were created. Effective dates vary so please review the full text of thes...
P B F
Apr 1, 2026
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Mar 1, 2026
Preventive Services for Medicare Advantage Plans   Annual Well Visits are now allowed up t...
P B F
Mar 1, 2026
Acute Hepatitis Panel Effective May 1, 2026, for CPT code 80074, the covered diagnosis list wil...
P F
Mar 1, 2026
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Mar 1, 2026
The following new policy was created. Effective dates vary so please review the full text of this po...
P B F
Mar 1, 2026
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Feb 18, 2026
We have completed our review of the April 2026 CPT code changes, including any category II performan...
P F
Feb 1, 2026
InterQual updates Effective February 1, 2026, updates will be made in the online authorization ...
P F
Feb 1, 2026
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
Feb 1, 2026
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Feb 1, 2026
The following new policy was created. Effective dates vary so please review the full text of this po...
P F
Feb 1, 2026
ICD-10 diagnosis coding requirements for ST/PT/OT effective February 15, 2026Effective February...
P B F
Jan 1, 2026
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Jan 1, 2026
The following new policies were created. Effective dates vary so please review the full text of thes...
P F
Jan 1, 2026
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Jan 1, 2026
Bioimpedance Devices for Detection and Management of LymphedemaEffective March 1, 2026, prior author...
P
Jan 1, 2026
Effective February 15, 2026, professional claims for Physical Therapy (PT), Speech Therapy (ST) and ...
P F
Dec 19, 2025
We have completed our review of the January 2026 Healthcare Common Procedure Coding System (HCPCS) c...