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Jan 1, 2019

Policies recently reviewed for annual update

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

    • Absorbable Nasal Implants for the Treatment of Nasal Valve Collapse
    • Actigraphy
    • Autism Spectrum Disorder Mandate – Updated with 2019 codes
    • Autologous Platelet Derived Growth Factors
    • Bone Mineral Density Studies
    • Extracorporeal Shock Wave Treatment for Plantar Fasciitis and Other Musculoskeletal Conditions
    • Genetic Testing for Diagnosis and Management of Mental Health Conditions
    • Injectable Fillers
    • Lysis of Epidural Adhesions
    • Measurement of Exhaled Nitric Oxide and Exhaled Breath Condensate in the Diagnosis and Management of Respiratory Disorders
    • Microvolt T-wave Alternans (MTWA)
    • Minimally Invasive Intradiscal and Annular Procedures for Back Pain
    • Non-Wearable Automatic External Defibrillator
    • Optical Diagnostic Devices for Evaluating Skin Lesions Suspected of Malignancy
    • PathFinderTG® Molecular Testing
    • Patient-Controlled End of Range Motion Stretching Devices
    • Pediatric Dental Essential Services
    • Preventive Services: BlueCHiP for Medicare
    • Proprietary Laboratory Analyses (PLA)
    • Proteogenomic Testing for Patients with Cancer
    • Psychological and Neuropsychological Testing - Updated with 2019 codes
    • Saturation Biopsy in the Diagnosis, Staging and Management of Prostate Cancer
    • Serum Tumor Markers for Breast and Gastrointestinal Malignancies
    • Telemedicine Services Effective 01|01|2019
    • Total Arthroplasty Hip-Knee
    • Transcutaneous Electrical Nerve Stimulation (TENS)
    • Transpupillary Thermotherapy for Treatment of Choroidal Neovascularization
    • Ultrasonographic Measurement of Carotid Intima-Medical Thickness as an Assessment of subclinical Atherosclerosis
    • Vertebral Fracture Assessment