- P = Professional
- B = Behavioral health
- F = Facilities
Policies
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...
P B F
May 1, 2022
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Apr 1, 2022
We have completed our review of the April 2022 CPT code changes, including any category II performan...
P F
Apr 1, 2022
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Apr 1, 2022
The following new policy was created. Please review the full text of this policy in the Provider sec...
P B F
Apr 1, 2022
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Mar 1, 2022
Effective May 1, 2022, Laser Interstitial Thermal Therapy (LITT) will not be covered for Medicare Ad...
P F
Mar 1, 2022
Effective May 1, 2022, the criteria used for medical necessity review of ExoDx Prostate IntelliScore...
P F
Mar 1, 2022
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Mar 1, 2022
The following new policy was created. Please review the full text of this policy in the Provider sec...
P B F
Mar 1, 2022
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P B F
Feb 1, 2022
Effective April 1, 2022, the criteria used for medical necessity review of GeneSight Psychotropic pa...
P F
Feb 1, 2022
Effective April 1, 2022, criteria used for medical necessity review of Oncotype DX Breast for commer...
P F
Feb 1, 2022
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Feb 1, 2022
The following new policy has been created. Effective dates vary so please review the full text of th...
P B F
Feb 1, 2022
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Jan 1, 2022
We have completed our review of the January 2022 CPT code changes, including any category II perform...
P F
Jan 1, 2022
Effective March 1, 2022, several ICD-10 diagnosis codes will no longer require authorization when fi...
P F
Jan 1, 2022
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
Jan 1, 2022
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...