- P = Professional
- B = Behavioral health
- F = Facilities
Policies
P F
Aug 1, 2021
Effective October 1, 2021, the policy for Surgical Treatments for Breast Cancer-Related Lymphedema i...
P F
Aug 1, 2021
Effective October 1, 2021, the Transurethral Water Vapor Thermal Therapy for Benign Prostatic Hyperp...
P F
Aug 1, 2021
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
Aug 1, 2021
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Jul 1, 2021
Effective September 1, 2021, the Medicare Advantage Plans medical criteria for brand name test Decip...
P F
Jul 1, 2021
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Jul 1, 2021
The following new policy has been created. Effective dates vary so please review the full text of th...
P B F
Jul 1, 2021
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Jun 1, 2021
We have completed our review of the June 2021 CPT code changes, including any Category II performanc...
P F
Jun 1, 2021
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
Jun 1, 2021
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P
May 1, 2021
We have completed our review of the April 2021 CPT code changes, including any Category II performan...
P
May 1, 2021
Effective July 1, 2021, the following changes are being made for several genetic testing services:
...
P F
May 1, 2021
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
May 1, 2021
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Apr 1, 2021
We have completed our review of the April 2021 CPT code changes, including any Category II performan...
P F
Apr 1, 2021
Effective June 1, 2021, the allowable code list will be updated within this payment policy for hospi...
P F
Apr 1, 2021
Effective June 1, 2021, medical necessity criteria will be added for the AlloSure Heart and AlloSure...
P F
Apr 1, 2021
Effective June 1, 2021, modifiers KS and KX representative of non-insulin dependence and insulin dep...
P F
Apr 1, 2021
Effective June 1, 2021, implantable continuous glucose monitoring, when using a device considered to...
P F
Apr 1, 2021
Effective June 1, 2021, some services have been added to the Removal of Implantable Devices policy. ...
P F
Apr 1, 2021
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Apr 1, 2021
The following new policies have been created. Effective dates vary so please review the full text of...
P B F
Apr 1, 2021
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...