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Dec 1, 2019

Policies recently reviewed for annual update

The following policies were recently reviewed for annual update. The full text of these policies are available in the Provider section of bcbsri.com.

  • Date of Service (DOS) for Laboratory Specimens
  • Drugs and Biologicals
  • Dynamic Spinal Visualization and Vertebral Motion Analysis
  • Electronic Brachytherapy for Nonmelanoma Skin Cancer
  • Fluoroscopy Without Films
  • Focal Treatment of Prostate Cancer
  • Gastric Electrical Stimulation Insertion
  • Implantable Bone-Conduction and Bone-Anchored Hearing Aids
  • Injectable Bulking Agents for the Treatment of Urinary and Fecal Incontinence
  • Non-Reimbursable Health Service Codes – Fourth Quarter Update
  • Occipital Nerve Stimulation Insertion
  • Osteochrondral Autografts and Allografts in the Treatment of Focal Cartilage
  • Out-of-Network Services
  • Proteogenomic Testing for Patients with Cancer
  • Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver Tumors
  • Reflectance Confocal Microscopy for Evaluating Skin Lesions for Suspected Malignancy
  • Scintimammography/Breast-Specific Gamma Imaging
  • Semi-Implantable and Fully Implantable Middle Ear Hearing Aids
  • Sensory Integration Therapy and Auditory Integration Therapy
  • Skin Contact Monochromatic Infrared Energy as a Technique to Treat Cutaneous Ulcers, Diabetic Neuropathy, and Miscellaneous Musculoskeletal Conditions
  • Soliris (Eculizumab)
  • Transcranial Magnetic Stimulation
  • Vestibular Function Test
  • Whole Gland Cryoablation of Prostate

For your review, we also post monthly drafts of medical policies being created or reassessed. As a reminder, you can provide comments on draft policies for up to 30 days. Draft policies are located on the Provider homepage, under the Medical Policies section, under the drop-down “Draft Medical Policies.”