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

Policies

P F
Mar 1, 2019
The following policies were recently created. Effective dates vary so please review the full text of...
P F
Mar 1, 2019
Breast Ductal Lavage for Detection of Breast Cancer Non Reimbursable Health Service Codes Q1 2019...
P B F
Mar 1, 2019
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Feb 1, 2019
We have completed our review of the January 2019 current procedural terminology (CPT) and HCPCS code...
P F
Feb 1, 2019
The following policy was recently created. Effective dates vary so please review the full text of th...
P F
Feb 1, 2019
The following policies were recently reviewed for annual update. The full text of these policies is ...
P B F
Feb 1, 2019
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Jan 1, 2019
The following policies were recently created. Effective dates vary so please review the full text of...
P F
Jan 1, 2019
Effective March 1, 2019, the Allergy Testing policy has been updated to reflect ICD-10 diagnosis cod...
P F
Jan 1, 2019
This policy addresses federal and state mandates relating to coverage guidelines and cost share requ...
P F
Jan 1, 2019
The following policies were recently reviewed for annual update. The full text of these policies is ...
P B F
Jan 1, 2019
BCBSRI must follow CMS guidelines for national coverage determinations (NCD) or local coverage deter...
P F
Dec 1, 2018
Effective December 1, 2018 the prosthetic urethral lift policy has been updated to reflect that the ...
P F
Dec 1, 2018
Effective January 1, 2019, the following CPT codes for Transesophageal Echocardiography (TEE) (73312...
P B F
Dec 1, 2018
BCBSRI must follow CMS guidelines for national coverage determinations (NCD) or local coverage deter...
P F
Dec 1, 2018
We have completed our review of the July 2018 current procedural terminology (CPT) and HCPCS code ch...
P F
Dec 1, 2018
There has been a new policy created that is ready for review for Absorbable Nasal Implant for Treatm...
P
Dec 1, 2018
The Physician Concierge Services Policy has been updated to reflect that BCBSRI will now allow provi...
P F
Dec 1, 2018
Effective October 2, 2018, percutaneous electrical neurostimulation (PENS) or percutaneous neuromodu...
P F
Dec 1, 2018
Effective February 1, 2019, Percutaneous Left Atrial Appendage Closure Devices for Stroke Prevention...
P B F
Oct 1, 2018
Updated drug policies for BlueCHiP for Medicare • Xiaflex (Clostridial Collagenase) — Medical criter...
P F
Sep 1, 2018
Effective December 1, 2018, the following drug codes will not be allowed under the medical benefit f...
P B F
Sep 1, 2018
BCBSRI must follow CMS guidelines for national coverage determinations (NCD) or local coverage deter...
P F
Sep 1, 2018
Effective November 1, 2018, Balloon Dilation of the Eustachian Tube (HCPCS code C9745 for nasal endo...