The following policies were recently reviewed for annual update. The full texts of these policies are available in the Provider section of bcbsri.com:
- Acute Inpatient Rehabilitation Level of Care
- Amniotic Membrane and Amniotic Fluid
- Arthrotomy for Temporomandibular Joint (TMJ) Disorder
- Auditory Brainstem Implant
- Cardiointegram
- Chelation Therapy for Off-Label Uses
- Chronic Intermittent Intravenous Insulin Therapy
- Constraint-Induced Movement Therapy
- Corneal Collagen Cross-Linking
- Corneal Topography, Computer Assisted Corneal Topography, Photokeratoscopy
- Dynamic Posturography
- Envisia for Idiopathic Pulmonary Fibrosis
- Gastric Electrical Stimulation – Insertion
- Intravitreal and Punctum Corticosteroid Implants
- Laparoscopic, Percutaneous, and Transcervical Techniques for the Myolysis of Uterine Fibroids & Hysterectomies
- Measurement of Ocular Blood Flow for Glaucoma
- Microprocessor-Controlled Prostheses for the Lower Limb
- Microvolt T-Wave Alternans Testing
- Myoelectric Controlled Upper-Limb Orthoses
- Outpatient Pulmonary Rehabilitation
- Phototherapy in the Home for the Treatment of Dermatological Conditions
- Powered Exoskeleton for Ambulation in Patients with Lower-Limb Disabilities
- Prior Authorization Cardiology and Radiology Services
- Proprietary Laboratory Analyses (PLA)
- Reflectance Confocal Microscopy for Evaluating Skin Lesions for Suspected Malignancy. 96931-96936
- Retinal Telescreening for Diabetic Retinopathy
- Scanning Computerized Ophthalmic Diagnostic Imaging
- Sensory Integration and Auditory Integration Therapy
- Skin Contact Monochromatic Infrared Energy (MIRE)
- Steroid Eluting Sinus Stents and Implants
- Surgery for Groin Pain in Athletes
- Surgical Deactivation of Migraine Headache Trigger Sites
- Surgical Ventricular Restoration
- Sympathetic Therapy for Pain Treatment
- Thoracic Lumbosacral Orthosis with Pneumatics
- Transanal Radiofrequency Treatment of Fecal Incontinence
- Transpupillary Thermotherapy for Treatment of Choroidal Neovascularization
- Vestibular Function Testing
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.”