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Apr 1, 2020

Policies recently reviewed for annual update

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

  • Adrenal to Brain Transplantation
  • Ambulance Services – Ground
  • Bioimpedance Devices for Detection and Management of Lymphedema
  • Bone Turnover Markers for the Diagnosis and Management of Osteoporosis and Diseases Associated with High Bone Turnover
  • Cardiointegram
  • Coding and Payment Guidelines
  • Computer Assisted Musculoskeletal Surgical Navigational Orthopedic Procedure
  • Cooling Devices used in the Home and Outpatient Setting
  • Coverage of Complications Following A Non-covered Service
  • Dental Procedures in the Outpatient Setting
  • Dental Providers Filing Evaluation and Management Services for Medical Conditions
  • Electrical Stimulation and Electromagnetic Therapy for Wound Treatment
  • Electrogastrography (EGG)
  • Fecal Calprotectin Testing
  • Fee-for-Time Compensation Arrangements (Former Title: Locum Tenens)
  • Home Births
  • Homocysteine Testing in the Screening, Diagnosis and Management of Cardiovascular and Venous Thromboembolic Disease
  • Hydrogel Spacer Use During Radiotherapy for Prostate Cancer
  • Intensive Behavior Therapy (IBT) for Obesity
  • Interim Billing
  • Intracellular Micronutrient Analysis
  • Laser Treatment of Onycholysis
  • Magnetic Esophageal Sphincter Augmentation to Treat GERD
  • Measurement of Cerebrospinal Fluid and Urinary Markers
  • Multimarker Serum Testing Related to Ovarian Cancer
  • New Technology
  • Noncontact Ultrasound Treatment for Wounds
  • Non-Powered Disposable Negative Pressure Wound Therapy
  • Novel Biomarkers in Risk Assessment and Management of Cardiovascular Disease
  • Optical Coherence Tomography of the Anterior Eye Segment
  • Proprietary Laboratory Analyses (PLA)
  • Removal of Non Covered Implantable Devices
  • Skilled Nursing Facilities: Admission and Concurrent Review
  • Surgery for Groin Pain in Athletes
  • Transanal Radiofrequency Treatment for Fecal Incontinence
  • Transcutaneous Electrical Nerve Stimulation
  • Transplants: Travel and Lodging for BlueCHiP for Medicare
  • Transtympanic Micropressure Applications as a Treatment of Meniere’s Disease

We also post monthly drafts of medical policies being created or reassessed for your review. 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.”