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May 1, 2026

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:

  • Auditory Brain Stem Implant
  • Chronic Intermittent Intravenous Insulin Therapy
  • Cryoablation, Radiofrequency Ablation, and Laser Ablation for Treatment of Chronic Rhinitis
  • Esophageal pH Monitoring
  • Fractional Carbon Dioxide (CO2) Laser Ablation Treatment of Hypertrophic Scars or Keloids for Functional Improvement
  • Genetic Testing for Epilepsy
  • Handheld Radiofrequency Spectroscopy for Intraoperative Assessment of Surgical Margins during Breast-Conserving Surgery
  • Implantation of Intrastromal Corneal Ring Segments-Conserving Surgery
  • In Vitro Chemoresistance and Chemosensitivity Assays
  • Lysis of Epidural Adhesions
  • Magnetic Capsule Endoscopy
  • Non-Contact Ultrasound Treatment for Wounds
  • Proteomic Testing for Targeted Therapy in Non-Small-Cell Lung Cancer
  • Stationary Ultrasonic Diathermy Devices
  • Stem Cell Therapy for Peripheral Arterial Disease
  • Surgery for Groin Pain in Athletes
  • Surgical Deactivation of Migraine Headache Trigger Sites
  • Surgical Ventricular Restoration
  • Thoracic Lumbosacral Orthosis with Pneumatics
  • Transanal Radiofrequency Treatment of Fecal Incontinence
  • Transpupillary Thermotherapy for Treatment of Choroidal Neovascularization
  • Vestibular Function Tests
  • Vitamin D 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 “Draft Medical Policies” drop-down.