The following policies were recently reviewed for annual update. The full texts of these policies are available in the Provider section of bcbsri.com:
- Auditory Brain Stem Implant
- CA 125
- Chelation Therapy for Off-Label Uses
- Chronic Intermittent Intravenous Insulin Therapy
- Cranial Electrotherapy Stimulation and Auricular Electrostimulation
- Disposable Negative Pressure Wound Therapy
- Electrogastrography (EGG)
- Endometrial Ablation
- Evaluation of Hearing Impairment/Loss
- Fetal Surgery for Prenatally Diagnosed Malformations
- First Trimester Detection of Down Syndrome Using Fetal Ultrasound Markers Combined with Maternal Serum Assessment
- Gait Analysis
- Gastric Electrical Stimulation – Insertion
- Glucose Monitoring – Home - Non-OneTouch Brand
- Home Spirometry
- Home Uterine Activity Monitoring (HUAM)
- Infertility Services
- Laser Treatment for Proliferative Vascular Lesions
- Local or Whole Body Hyperthermia (Previously known as Hyperthermia for Cancer Treatment)
- Long Term Acute Care Hospital (LTACH) Admission and Transition of Care Criteria
- Microvolt T-Wave Alternans Testing
- Minimally Invasive Coronary Artery Bypass Graft Surgery
- New Technologies and Miscellaneous Services
- Non-Contact Ultrasound Treatment for Wounds
- Optical Diagnostic Devices for Evaluating Skin Lesions Suspected of Malignancy
- Phototherapy for the Treatment of Seasonal Affective Disorder
- Prescription Digital Therapeutics for Substance Abuse
- Preventive Services for Commercial Members
- Preventive Services for Medicare Advantage Plans
- Self-Treatment or Treatment of Immediate Family Members
- Steroid-Eluting Sinus Stents and Implants
- Surgery for Groin Pain in Athletes
- Surgical Deactivation of Migraine Headache Trigger Sites
- Surgical Ventricular Restoration
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.”