- P = Professional
- B = Behavioral health
- F = Facilities
Policies
P F
Nov 18, 2024
We have completed our review of the January 2025 current procedural terminology (CPT) including any ...
F
Nov 1, 2024
The following payment guidelines are applicable to local in-network facilities only that are reimbur...
P
Nov 1, 2024
BCBSRI is committed to supporting primary care providers and is excited to announce additional reimb...
P F
Nov 1, 2024
Arthrotomy for Temporomandibular Joint (TMJ) Effective January 1, 2025, CPT code 21010 wil...
P F
Nov 1, 2024
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Nov 1, 2024
The following new policies have been created. Effective dates vary so please review the full text of...
P B F
Nov 1, 2024
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Oct 1, 2024
We have completed our review of the October 2024 Healthcare Common Procedure Coding System (HCPCS) c...
P F
Oct 1, 2024
Telemedicine Telephone Services for Commercial Products & Medicare Advantage PlansEffective Janu...
P F
Oct 1, 2024
Biomarker Testing in Risk Assessment and Management of Cardiovascular DiseaseEffective December 1, 2...
P B F
Oct 1, 2024
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
Oct 1, 2024
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Sep 1, 2024
Emergency Department (ED) Outpatient Facility Evaluation and Management (E/M) Coding PolicyAs part o...
P F
Sep 1, 2024
MHK UpdatesEffective November 1, 2024, IQ criteria updates to the CP:Procedures Transcatheter Aortic...
P F
Sep 1, 2024
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Sep 1, 2024
The following new policies have been created. The effective dates may vary so please review the full...
P B F
Sep 1, 2024
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Aug 12, 2024
We have completed our review of the October 2024 Healthcare Common Procedure Coding System (HCPCS) c...
P F
Aug 12, 2024
CMS released a new code J0175 effective July 2nd, 2024. These updates will be added to our claims pr...
P F
Aug 1, 2024
Emergency Department (ED) Outpatient Facility Evaluation and Management (E/M) Coding PolicyAs part o...
P F
Aug 1, 2024
MHK authorization updateEffective October 1, 2024, prior authorization criteria for Water Vapor Ther...
P F
Aug 1, 2024
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Aug 1, 2024
The following new policies have been created. Effective dates vary so please review the full text of...
P B F
Aug 1, 2024
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...