The following policies were recently reviewed for annual update. The full texts of these policies are available in the Provider section of bcbsri.com:
- Autografts and Allografts in the Treatment of Focal Articular Cartilage Lesions
- Autologous Chondrocyte Implantation for Focal Articular Cartilage Lesion
- Chiropractic Services
- Early Intervention Services
- Enhanced External Counterpulsation
- Fetal Surgery for Prenatally Diagnosed Malformations
- Functional Neuromuscular Electrical Stimulation
- Image Guided Minimally Invasive Spinal Decompression for Spinal Stenosis
- Intra-articular Hyaluronan Injections for Osteoarthritis (NMN)
- Laser Treatment for Proliferative Vascular Lesions
- Nerve Graft with Radical Prostatectomy
- Mobile Cardiac Outpatient Telemetry
- Non-Reimbursable Health Service Codes
- Orthognathic Surgery
- Out of Network Services
- Patient-Controlled End of Range Motion Stretching Devices
- Payment Adjustments for Serious Reportable Events (also known as SRE or Never Events) and Hospital Acquired Conditions
- Phototherapy for the Treatment of Seasonal Affective Disorder
- Phototherapy in the Home for the Treatment of Dermatological Conditions
- Preventive Services for Commercial Members
- Progenitor Cell Therapy for the Treatment of Damaged Myocardium due to Ischemia
- Retinal Telescreening for Diabetic Retinopathy
- Rhinomanometry and Acoustic Optical Rhinomanometry
- Sensory Integration Therapy and Auditory Integration Therapy
- Speech Therapy
- Transpupillary Thermotherapy for Treatment of Choroidal Neovascularization
- Ultrasonographic Measurement of Carotid Intima-Medial Thickness as an Assessment of Subclinical Atherosclerosis
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.”