P F
Feb 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:

     

    • Biofeedback
    • Cardiac Rehabilitation
    • Care Plan Oversight
    • Cooling Devices Used in the Home and Outpatient Setting
    • Dermatologic Applications of Photodynamic Therapy
    • Early Intervention Services Mandate
    • Enteral and Parental Nutrition Therapy
    • Fecal Calciprotein Testing
    • Focal Treatment of Prostate Cancer
    • Fracture Care
    • Gait Analysis
    • Gene Expression Profiling and Protein Biomarkers for Prostate Cancer Management
    • Genetic and Protein Biomarkers for the Diagnosis and Cancer Risk Assessment of Prostate Cancer
    • Genetic Testing Services
    • Hyperbaric Oxygen Therapy (HBO)
    • Injectable Bulking Agent for Urinary and Fecal Incontinence
    • Interspinous and Interlaminar Stabilization/Distraction Devices (Spacers)
    • Locum Tenens
    • Molecular Markers in Fine Needle Aspirates of the Thyroid
    • Non Reimbursable Health Service Codes
    • Oral Appliance for Sleep Apnea
    • Ovarian and Iliac Vein Embolization as Treatment for Pelvic Congestion Syndrome
    • Physical and Occupational Therapy Cap
    • Prior Authorization via Web-Based Tool for Durable Medical Equipment
    • Prior Authorization via Web-Based Tool for Procedures
    • Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver Tumors
    • Radium 223 Xofigo for Treatment of Metastatic Castration Resistant Prostate Cancer
    • Reflectance Confocal Microsocpy for Evaluating Skin Lesions for Suspected Malignancy
    • Sacroiliac Joint Injection
    • Scintimamography/Breast-Specific Gamma Imaging
    • Sensory Integration Therapy and Auditory Integration Therapy
    • Stereotactic Body Radiation Therapy
    • Surgery for Groin Pain in Athletes
    • Surgical Treatment of Snoring and Obstructive Sleep Apnea Syndrome (Former Title: Minimally Invasive Surgery for Snoring)
    • Transesophageal Endoscopic Treatments for Gastroesophageal Reflux Disease
    • Transtympanic Micropressure Applications as a Treatment of Meniere’s Disease
    • Vacation Pharmacy Supply
    • Vertebral Axial Decompression
    • Vestibular Function Testing
    • Wireless Pressure Sensors in Endovascular Aneurysm Repair
    • Whole Gland Cryoablation of Prostate Cancer