- P = Professional
- B = Behavioral health
- F = Facilities
Policies
P F
Nov 1, 2019
Effective January 1, 2020, Transurethral Water Vapor Thermal Therapy for Benign Prostatic Hyperplasi...
P F
Nov 1, 2019
The Benign Skin Lesions and Viral Infectious Lesion Removal policy has been updated to document that...
P F
Nov 1, 2019
Effective January 1, 2020, the prior authorization requirement will be removed from Outpatient Pulmo...
P F
Nov 1, 2019
Effective January 1, 2020, the Aqueous Shunts and Stents for Glaucoma policy will be updated to refl...
P F
Nov 1, 2019
The following policies were recently reviewed for annual update. The full text of these policies are...
P B F
Nov 1, 2019
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Oct 1, 2019
We have completed our review of the additional CPT and HCPCS code changes for October 2019. These up...
P F
Oct 1, 2019
It is incorrect coding to file for depression screening (G0444) with the annual wellness visit for B...
P F
Oct 1, 2019
The following policies were recently reviewed for annual update. The full text of these policies are...
P F
Oct 1, 2019
The following new policies have been created. Effective dates vary so please review the full text of...
P B F
Oct 1, 2019
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Sep 1, 2019
The following information has been updated in the Infertility Services policy to provide clarity.
N...
P F
Sep 1, 2019
Effective November 1, 2019, digestive enzymes added to enteral formula via a cartridge device attach...
P F
Sep 1, 2019
The following policies were recently reviewed for annual update. The full text of these policies are...
P F
Sep 1, 2019
The following new policies have been created. Effective dates vary so please review the full text of...
P B F
Sep 1, 2019
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Aug 1, 2019
We have completed our review of the July additional CPT and HCPCS code changes. These updates have b...
P F
Aug 1, 2019
The Homocysteine Testing in the Screening, Diagnosis and Management of Cardiovascular Disease policy...
P F
Aug 1, 2019
Effective October 1, 2019, Hyperbariac Oxygen Therapy will no longer require prior authorization for...
P F
Aug 1, 2019
Effective October 1, 2019, the medical criteria for prior authorization is being updated for the Art...
P F
Aug 1, 2019
Effective October 1, 2019, the Prolaris™ assay (CPT code 81541) found in the medical policy Gene Exp...
P F
Aug 1, 2019
Reminder, to ensure that claims submitted for routine foot care and nail debridement are processed c...
P F
Aug 1, 2019
Ambulance Air and Water Transport
BCBSRI Performance Data for Health Care Operations
Buprenorphine...
P F
Aug 1, 2019
The following new policies were created. Effective dates vary so please review the full text of thes...