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...

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

DRG Mapping PolicyWe updated the description within the policy and added the following statement. No...

Biomarker Testing in Risk Assessment and Management of Cardiovascular Disease   &nbsp...

Effective July 1, 2025, updates will be made in the online authorization tool for the following Inte...

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...

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

Allergy Immunotherapy Injections The above referenced policy was updated to clarify that BCBSRI...

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

Prior authorization via web-based tool for Durable Medical Equipment (DME)Effective June 1, 2025, fo...

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...

2025 Coding and Payment Guidelines Modifiers Modifier 27 has been added to this policy. Modifie...

Multitarget Polymerase Chain Reaction Testing for Diagnosis of Bacterial VaginosisEffective May 1, 2...

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...

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