The following policies were recently reviewed for annual update. The full texts of these policies are available in the Provider section of bcbsri.com.
- Actigraphy
- Anastomosis of Extracranial-Intracranial Arteries
- Auditory Brain Stem Implant
- Autologous Platelet Derived Growth Factors
- Benign Skin Lesion and Viral Infectious Lesion Removal
- Breast Pump – Hospital Grade
- Clinical Trials Medicare Advantage Plans
- Constraint-Induced Movement Therapy
- COVID-19 Monoclonal Antibody Treatment
- Cranial Electrotherapy Stimulation and Auricular Electrostimulation
- Dermatologic Applications of Photodynamic Therapy
- Dry Needling for Trigger Point for Myofascial Pain
- Emergency Room Reimbursement
- Evaluation of Biomarkers for Alzheimer’s Disease (formally Cerebrospinal Fluid and Urinary Biomarkers for Alzheimer’s Disease
- Fecal Calprotectin Testing
- Islet Cell Transplant
- Medical Records Standards
- Navigated Transcranial Magnetic Stimulation
- Novel Biomarkers in Risk Assessment and Management of Cardiovascular Disease
- Optical Coherence Tomography of the Anterior Eye Segment
- Pediatric Dental Services- Essential Benefit
- Peroral Endoscopic Myotomy for Treatment of Esophageal Achalasia
- Prior Authorization of Drugs
- Prostatic Stent -Temporary
- Radiology Imaging Interpretation – Emergency Room
- Routine Foot Care and Nail Debridement
- Serum Tumor Markers for Breast and Gastrointestinal Malignancies
- Steroid-Eluting Sinus Stents
- Surgical Deactivation of Migraine Headache Trigger Points
- Transanal Radiofrequency Treatment of Fecal Incontinence
- Transcutaneous Electrical Nerve Stimulation
- Vestibular Function Test
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.”