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 Transport Ground
- Aqueous Shunts and Stents for Glaucoma
- Bioimpedance Devices for Detection and Management of Lymphedema
- Bone Turnover Markers for the Diagnosis and Management of Osteoporosis and Diseases
- Dental Procedures in the Outpatient Setting
- Electrical Stimulation and Electromagnetic Stimulation for the Treatment of Arthritis
- Electrical Stimulation and Electromagnetic Therapy for Wound Treatment
- Endometrial Ablation
- Genetic Testing for Diagnosis and Management of Mental Health Conditions
- Homocysteine Testing in the Screening, Diagnosis and Management of Cardiovascular Disease
- Hydrogel Spacer Use During Radiotherapy for Prostate Cancer
- Immune Cell Function Assay
- Intracellular Micronutrient Analysis
- Laser Treatment of Onychomycosis
- Magnetic Esophageal Sphincter Augmentation to Treat Gastrointestinal Reflux Disease
- Measurement of Exhaled Nitric Oxide and Exhaled Breath Condensate in the Diagnosis and Management of Respiratory Disorders
- Measurement of Small Low-Density Lipoprotein (LDL) Particles
- Measurement of Serum Antibodies to Selected Biologic Agents
- Medicare Advantage Plans National and Local Coverage Determinations
- Multimarker Serum Testing Related to Ovarian Cancer
- Non-Reimbursable Health Service Codes
- Non-Wearable Automatic External Defibrillator
- Prior Authorization of Cardiology and Radiology Services
- Pulsed Radiofrequency for the Treatment of Chronic Pain
- Radiofrequency Coblation Tenotomy for Musculoskeletal Conditions
- Serum Biomarker Human Epididymis Protein 4
- Telephone and Telemedicine Services for Commercial Products -Effective 1/1/21
- Thermography
- Transvaginal and Transurethral Radiofrequency Tissue Remodeling for Urinary Stress Incontinence
- Urinary Biomarkers for Cancer Screening, Diagnosis and Surveillance
- Vitamin-D Testing
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.”