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Oct 1, 2022

Policies recently reviewed for annual update

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
  • Artificial Intervertebral Disc Insertion Lumbar Spine
  • Bronchial Thermoplasty
  • Buprenorphine Implant for Treatment of Opioid Dependence
  • Cryosurgical Ablation of Miscellaneous Solid Tumors other than Renal, Liver and Prostate
  • Dental Services for Accidental Injury
  • Desensitization Treatment for Peanut Allergies
  • Digital Health Therapies for Attention Deficit/Hyperactivity Disorder
  • Electrical Bone Growth Stimulation of the Appendicular Skeleton - Implantable and Semi-Implantable
  • Electromagnetic Navigational Bronchoscopy
  • Extracorporeal Shock Wave Treatment for Plantar Fasciitis and Other Musculoskeletal Conditions
  • Hospital Laboratory Pass Through Billing
  • Implantable Bone-Conduction and Bone-Anchored Hearing Aids
  • Ingestible pH and Pressure Capsule
  • Intensity Modulated Radiotherapy – Prostate
  • Interspinous Interlaminar Stabilization Distraction Devices Spacers
  • Islet Transplantation
  • Medicare Advantage Plans National and Local Coverage Determinations
  • Molecular Testing in the Management of Pulmonary Nodules
  • Paraspinal Surface Electromyography (SEMG) to Evaluate and Monitor Back Pain
  • Percutaneous Electrical Nerve Stimulation and Percutaneous Neuromodulation Therapy
  • Prior Authorization of Drugs (drug list updated)
  • Proteogenomic Testing for Patients with Cancer
  • Semi and Fully Implantable Middle Ear Hearing Aid – Insertion

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.”