The following policies were recently reviewed for annual update. The full texts of these policies are available in the Provider section of bcbsri.com.
- Digital Electroencephalography
- Epidural Injections for Pain Management
- Extracorporeal Shock Wave Treatment for Plantar Fasciitis and Other Musculoskeletal Conditions
- Home Prothrombin Time Monitoring
- Hospital Duplicate Services
- Implantation of Intrastromal Cornea Ring Segments
- Injectable Fillers
- Low-Level Laser Therapy
- Manipulation Under Anesthesia
- Measurement of Cerebrospinal and Urinary Biomarkers
- Non-Wearable Automatic External Defibrillator
- Off-Label Use of Prescription Drugs Mandate
- Optical Diagnostic Devices for Evaluating Skin Lesions Suspected of Malignancy
- Oral Appliances for Sleep Apnea
- Outpatient Observation Services
- Peripheral Artery Disease Rehabilitation
- Phototherapy for the Treatment of Seasonal Affective Disorder (SAD)
- Preventive Services for BlueCHiP for Medicare
- Progentitor Cell Therapy for the Treatment of Damaged Myocardium
- Radiopharmaceuticals
- Rhinomanometry and Acoustic Optical Rhinmanometry
- Salivary Estriol as Risk Factor for the Diagnosis and Staging of Prostate Cancer
- Saturation Biopsy for the Diagnosis and Staging of Prostate Cancer
- Signal Average Electrocardiography (SAECG)
- Sphenopalatine Ganglion Block for Headache
- Thermal Capsulorrhaphy as a Treatment of Joint Instability
- Thoracic Lumbosacral Orthosis with Pneumatics
- Topographic Brain Mapping
- Total Joint Arthroplasty
- Transpupillary Thermotherapy for Treatment of Choroidal Neovascularization
- Venipuncture for State Mandated Lead Screening
- Vertebral Fracture Assessment
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.”