- P = Professional
- B = Behavioral health
- F = Facilities
Policies
P B F
Aug 1, 2022
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Jul 1, 2022
We have completed our review of the July 2022 CPT code changes, including any category II performanc...
P F
Jul 1, 2022
Effective 8/1/2022, the authorization requirement is being removed from HCPCS code E0604 for hospita...
P F
Jul 1, 2022
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
Jul 1, 2022
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Jun 1, 2022
Amniotic Membrane and Amniotic Fluid
Effective August 1, 2022, this policy statement will be updat...
P F
Jun 1, 2022
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Jun 1, 2022
The following new policy was recently created. Please review the full text of this policy in the Pro...
P B F
Jun 1, 2022
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
May 1, 2022
We have completed our review of the April 2022 CPT code changes, including any category II performan...
P F
May 1, 2022
This policy was updated on April 20, 2022 to include new HCPCS codes effective April 1, 2022.
Effe...
P F
May 1, 2022
Effective July 1, 2022, diagnosis coding in the Fecal Calprotectin Testing policy will be edited to ...
P F
May 1, 2022
Effective July 1, 2022, the Laboratory Tests Post Transplant and for Heart Failure policy will be up...
P F
May 1, 2022
Effective July 1, 2022, CPT code 64625 for radiofrequency ablation of nerves innervating the sacroil...
P F
May 1, 2022
Effective January 1, 2022, laparoscopic or transcervical radiofrequency ablation as a treatment of s...
P F
May 1, 2022
Effective July 1, 2022, Intensity-Modulated Radiotherapy may be medically necessary for right-sided ...
P F
May 1, 2022
This policy was updated on April 13, 2022. Effective for dates of service on or after July 1, 2022, ...
P F
May 1, 2022
This policy was updated on January 19, 2022 to include Split (or shared) E/M visits and the applicab...
P F
May 1, 2022
This policy was updated on January 19, 2022 to include 99401-CR, S9445FP, and S9445TH. Please refer ...
P F
May 1, 2022
This policy was updated on February 2, 2022 to include 0073A, Pfizer third dose administration code....
P F
May 1, 2022
This policy has been updated to include the following additions.
January 19, 2022: M0220, M0221, a...
P F
May 1, 2022
Electronic Funds Transfer/Direct Deposit for Participating Providers
Fluoroscopy without films
Int...
P F
May 1, 2022
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
May 1, 2022
The following new policies were recently created. Please review the full text of these policies in t...