The following policies were recently reviewed for annual update. The full text of these policies is available in the Provider section of bcbsri.com.
- Adrenal to Brain Transplantation
- Anastomosis of Extracranial Intracranial Arteries
- Auditory Brain Stem Implant
- Autonomic Nervous System Testing Using Portable Automated Devices
- Balloon Dilation of the Eustachian Tube
- Bariatric Surgery
- CA 125
- Cardiointegram
- Circulating Tumor DNA and Circulating Tumor Cells for Cancer Management (Liquid Biopsy)
- Coding and Payment Guidelines
- Constraint Induced Movement Therapy
- Contraceptive Drugs and Devices Mandate
- Cosmetic Services/Procedures
- Cranial Electrotherapy Stimulation and Auricular Electrostimulation
- Drug Testing
- Dynamic Prosturography
- Electrical Stimulation and Electromagnetic Therapy for Wounds
- Fetal Surgery for Prenatally Diagnosed Malformations
- Home Health Services – Non Skilled
- Newborn Metabolic Endocrine and Hemoglobinopathy and the Newborn Hearing Loss Screening Programs Mandate
- Non Reimbursable Health Service codes
- Post Payment Audits
- Serum Tumor Markers for Breast and Gastrointestinal Malignancies
- Skilled Nursing Facilities: Admission and Concurrent Review
- Steroid-Eluting Sinus Stents (Former title: Implantable Sinus Stents for Postoperative Use Following Endoscopic Sinus Surgery and Recurrent Sinus Disease
- Surgery for Groin Pain in Athletes
- Surgical Ventricular Restoration
- Sympathetic Therapy for the Treatment of Pain
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 Medical Policies, then “Draft Medical Policies.”