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Mar 1, 2024

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:

  • Adrenal to Brain Transplantation 
  • Ambulance Services – Ground
  • Behavioral Health Outpatient Professional Services
  • Buprenorphine for Treatment of Opioid Dependence
  • Evaluation of Hearing Impairment or Loss 
  • Fecal Calprotectin Testing
  • Gait Analysis
  • Health and Behavior Assessment
  • Home Spirometry
  • Homocysteine Testing in the Screening, Diagnosis, and Management of Cardiovascular Disease and Venous Thromboembolic Disorders
  • Immune Cell Function Assay
  • Intracellular Micronutrient Analysis
  • Laser Interstitial Thermal Therapy for Neurological Conditions
  • Laser Treatment of Onychomycosis
  • Local or Whole Body Hyperthermia 
  • Magnetic Capsule Endoscopy
  • Medical Necessity
  • Multitarget Polymerase Chain Reaction Testing for Diagnosis of Bacterial Vaginosis
  • New Technology and Miscellaneous Services
  • Prior Authorization via Web-Based Tool for Procedures
  • Radiofrequency Coblation Tenotomy for Musculoskeletal Conditions 
  • Removal of Implantable Devices
  • Rhinomanometry and Acoustic Optical Rhinomanometry
  • Skilled Nursing Facilities 
  • Sphenopalatine Ganglion Block for Headache 
  • Stationary Ultrasonic Diathermy Devices 
  • Suture Button Suspensionplasty Fixation System for Thumb Carpometacarpal Osteoarthritis
  • 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.”