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

Policies

P F
Feb 1, 2023
Effective February 1, 2023, due to eviCore’s Prior Authorization of Spinal Procedures for Medicare A...
P F
Feb 1, 2023
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Feb 1, 2023
The following new policy was recently created:Transfers Between DRG Facilities    Eff...
P B F
Feb 1, 2023
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Jan 1, 2023
We have completed our review of the January 2023 CPT code changes, including any category II perform...
P F
Jan 1, 2023
We have completed our review of the January 2023 Healthcare Common Procedure Coding System (HCPCS) c...
P F
Jan 1, 2023
Tumor Treating Fields Therapy            &nbs...
P F
Jan 1, 2023
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Jan 1, 2023
The following new policies were recently created:Prostate Cancer for Detection with IsoPSA - Effecti...
P B F
Jan 1, 2023
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Dec 1, 2022
Glucose Monitoring – Continuous            &n...
P F
Dec 1, 2022
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Dec 1, 2022
The following new policies were recently created:Digital Health Technologies: Diagnostic Application...
P B F
Dec 1, 2022
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Nov 1, 2022
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Nov 1, 2022
The following policy was recently archived: Digital Breast Tomosynthesis...
P F
Nov 1, 2022
The following new policies were recently created:Microprocessor-Controlled Prostheses for the Lower ...
P B F
Nov 1, 2022
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Oct 1, 2022
We have completed our review of the October 2022 CPT code changes, including any category II perform...
P F
Oct 1, 2022
The following policies have been updated outside of their annual review: Total Joint Arthroplasty -...
P F
Oct 1, 2022
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Oct 1, 2022
The following new policies were recently created: Arthrotomy for Temporomandibular Joint (TMJ) Di...
P B F
Oct 1, 2022
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Sep 1, 2022
Low-Level Laser Therapy  PF  Effective November 1, 2022, additional CPT codes and ICD-10...