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

Policies

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...
P F
Mar 1, 2021
We have completed our review of the January 2021 CPT code changes, including any Category II perform...
P F
Mar 1, 2021
Effective May 1, 2021, several CPT codes in the New Technology (Formerly CPT Category III Codes) pol...
P F
Mar 1, 2021
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Mar 1, 2021
The following new policy has been created. Effective dates vary so please review the full text of th...
P B F
Mar 1, 2021
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...