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Dec 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.

  • Absorbable Nasal Implant for Treatment of Nasal Valve Collapse
  • Acupuncture Mandate for Commercial Products
  • Automated Point of Care Nerve Conduction Tests
  • Exondys (Eteplirsen) for Duchenne Muscular Dystrophy
  • High Risk Pregnancy Services
  • Home Health Services – Non-skilled
  • Home Prothrombin Time Monitoring
  • Infertility Services
  • Intensity Modulated Radiotherapy of the Abdomen and Pelvis
  • Intensity Modulated Radiotherapy of the Breast and Lung
  • Intensity Modulated Radiotherapy of the Central Nervous System Tumors
  • Intensity Modulated Radiotherapy of the Head, Neck or Thyroid
  • Intensity Modulated Radiotherapy of the Prostate
  • Laparoscopic and Percutaneous Techniques for the Myolosis of Uterine Fibroids
  • Low-level Laser Therapy
  • Microwave Tumor Ablation
  • Molecular Markers in Fine Needle Aspiration of the Thyroid
  • Non-Reimbursable Health Service Codes
  • Off-Label Use of Prescription Drugs Mandate
  • Optical Diagnostic Devices for Evaluating Skin Lesions Suspected of Malignancy
  • Ovarian and Internal Iliac Vein Embolization as a Treatment of Pelvic Congestion Syndrome
  • Percutaneous Electrical Nerve Stimulation and Percutaneous Neuromodulation Therapy
  • Reflectance Confocal Microscopy for Evaluating Skin Lesions for Suspected Malignancy
  • Sensory Integration Therapy and Auditory Integration Therapy
  • Stereotactic Body Radiation Therapy
  • Surgical Treatment of Snoring and Obstructive Sleep Apnea Syndrome
  • Thermal Capsulorrhaphy as a Treatment of Joint Instability
  • Transcatheter Mitral Valve Repair

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.”