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Mar 1, 2025

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:

  • Acupuncture Services for Commercial Products 
  • Adrenal to Brain Transplantation
  • After Hours and Special Services, Procedures, and Reports 
  • Ambulance Ground
  • Automated Testing Devices
  • Breast Ductal Lavage for Detection of Breast Cancer
  • Dry Hydrotherapy for Chronic Pain Conditions
  • Electrogastrography (EGG)
  • Endometrial Ablation
  • Fecal Calprotectin Testing
  • Gait Analysis
  • Glucose Monitoring - Home - Non-One Touch Brand 
  • Home Spirometry 
  • Home Uterine Activity Monitoring
  • Homocysteine Testing in the Screening, Diagnosis, and Management of Cardiovascular Disease and Venous Thromboembolic Disorders
  • Immune Cell Function Assay
  • Implantation of Intrastromal Corneal Ring Segments
  • Intracellular Micronutrient Analysis
  • In Vitro Chemoresistance and Chemosensitvity Assays
  • Laser Interstitial Thermal Therapy for Neurological Conditions
  • Laser Treatment of Onychomycosis
  • Lyme Disease Diagnosis and Treatment Mandate
  • Magnetic Capsule Endoscopy
  • Medical Necessity
  • Minimally Invasive Coronary Artery Bypass Graft Surgery
  • Monitored Anesthesia Care for Gastrointestinal Endoscopic Procedures 
  • Noninvasive Techniques for the Evaluation and Monitoring of Patients with Chronic Liver Disease
  • Nutrient-Nutritional Panel Testing
  • Phototherapeutic Keratectomy (PTK)
  • Prior Authorization via Web-Based Tool for Procedures
  • Proteomic Testing for Targeted Therapy in Non-Small-Cell Lung Cancer
  • Rhinomanometry and Acoustic Optical Rhinomanometry
  • Signal-Averaged Electrocardiography (SAECG)
  • Sympathetic Therapy for Pain Treatment

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 “Draft Medical Policies” drop-down.