We have completed our review of the April 2026 CPT code changes, including any category II performan...

InterQual updates Effective February 1, 2026, updates will be made in the online authorization ...

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...

The following new policy was created. Effective dates vary so please review the full text of this po...

ICD-10 diagnosis coding requirements for ST/PT/OT effective February 15, 2026Effective February...

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

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

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

Bioimpedance Devices for Detection and Management of LymphedemaEffective March 1, 2026, prior author...

Effective February 15, 2026, professional claims for Physical Therapy (PT), Speech Therapy (ST) and ...

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

We have completed our review of the January 2026 CPT code changes, including any category II perform...

Timely Filing This policy was updated to reflect a few changes:A reminder to providers about co...

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

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...

COVID-19 Monoclonal Antibody Treatment and Antiviral IV MedicationsThis policy was updated to correc...

*NEW POLICY* Prior Authorization of Physical and Occupation Therapy ServicesEffective January 1, 202...

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...

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

Preventative Services for Commercial Members policyThis policy was updated to meet HRSA guidelines e...