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

Policies

P B F
Jun 1, 2023
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Jun 1, 2023
The following new policies were recently created and will be effective August 1, 2023: Genomic Sequ...
P B F
Jun 1, 2023
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
May 1, 2023
Phototherapy for the Treatment of Seasonal Affective Disorder   Effective July 1, 2023, HCPCS code...
P F
May 1, 2023
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
May 1, 2023
The following new policies were recently created and will be effective July 1, 2023: Handheld Radio...
P B F
May 1, 2023
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Apr 10, 2023
We have completed our review of the April 2023 Healthcare Common Procedure Coding System (HCPCS) cha...
P B F
Apr 1, 2023
Electrical Stimulation and Electromagnetic Therapy for Wound Treatment Effective June 1, 2023, thi...
P B F
Apr 1, 2023
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Apr 1, 2023
The following new policy was recently created: Minimal Residual Disease Testing for Cancer – This n...
P B F
Apr 1, 2023
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Mar 1, 2023
We have completed our review of the April 2023 CPT code changes, including any category II performan...
P F
Mar 1, 2023
Orthognathic Surgery          Effective May 1, 2023, these services will now be medically necessar...
P B F
Mar 1, 2023
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
Mar 1, 2023
The following new policy was recently created: Temporarily Implanted Nitinol Device (iTind) for Ben...
P B F
Mar 1, 2023
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Feb 1, 2023
Focal Treatments for Prostate Cancer Effective April 1, 2023, High-Intensity Focused Ultrasound wi...
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     Effective date...
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...