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Dec 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:

  • Advance Notice of Non-coverage
  • Ambulatory Blood Pressure Monitoring
  • Autologous Chondrocyte Implantation for Focal Articular Cartilage Lesions
  • Automated Point-of-Care Nerve Conduction Test
  • Cardiac Hemodynamic Monitoring
  • EKG Services During Preventive Visit
  • Lysis of Adhesions
  • Molecular Testing for the Management of Pancreatic Cysts, Barrett Esophagus, and Solid Pancreaticobiliary Lesions (formerly PathfinderTG Molecular Testing)
  • Multi-Function Home Ventilators
  • Prior Authorization of Drugs (drug list updated)
  • Salivary Estriol as Risk Predictor for Preterm Labor
  • Saturation Biopsy for Diagnosis, Staging and Management of Prostate Cancer
  • Thermography
  • Transesophageal Endoscopic Therapies for Gastroesophageal Reflux Disease

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.”