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Apr 1, 2023

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:

  • Ambulance: Air and Water Transport
  • Ambulance Services - Ground
  • Bioimpedance Devices for Detection and Management of Lymphedema
  • Bone Turnover Markers for the Diagnosis and Management of Osteoporosis and Diseases associated with High Bone Turnover
  • Breast Ductal Lavage for Detection of Breast Cancer
  • Dental Services Rendered in the Outpatient Setting
  • 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
  • Glucose Monitoring – Home – Non-One Touch Brand
  • Home Health Services - Skilled
  • Home Spirometry
  • Home Uterine Activity Monitoring (HUAM)
  • Hyperbaric Oxygen Therapy
  • Implantation of Intrastromal Corneal Ring Segments
  • Ingestible pH and Pressure Capsule
  • Laser Treatment for Proliferative Vascular Lesions
  • Local or Whole-Body Hyperthermia
  • Long Term Acute Care Hospital (LTACH) Admission and Transition of Care Criteria
  • Measurement of Serum Antibodies to Selected Biologic Agents
  • Minimally Invasive Coronary Artery Bypass Graft Surgery
  • Multimarker Serum Testing Related to Ovarian Cancer
  • Non-Contact Ultrasound Treatment for Wounds
  • Oral Nutrition Mandate
  • Prostatic Stent – Temporary
  • Removal of Implantable Devices
  • Signal-Averaged Electrocardiography (SAECG)
  • Skilled Nursing Facilities: Admission and Concurrent Review
  • Thermal Capsulorrhaphy as a Treatment of Joint Instability
  • Topographic Brain Mapping

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.”