• P = Professional
  • B = Behavioral health
  • F = Facilities

Policies

P F
1 Fev, 2025
Coding and Payment Guidelines/Modifiers Effective, 1 de janeiro, 2025, modifier 27 has been added ...
P F
1 Fev, 2025
Corneal Topography, Computer Assisted Corneal Topography, PhotokeratoscopyEffective 1 de abril, 2025, C...
P F
1 Fev, 2025
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
1 Fev, 2025
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P
1 Jan, 2025
We have completed our review of the 20 de janeiro25 Healthcare Common Procedure Coding System (HCPCS) c...
P
1 Jan, 2025
Prior Authorization via Web Based Tool for Durable Medical Equipment (DME)    &n...
P F
1 Jan, 2025
The following policies were recently reviewed for annual update. The full texts of these policies ar...
B F
1 Jan, 2025
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
5 Dez, 2024
UPDATE 05/12/2024 *CPT codes 0913T, 0914T, 0915T, 0916T, 0917T, 0918T, 0923T, 0933T will not req...
P F
1 Dez, 2024
We have completed our review of the 20 de janeiro25 CPT code changes, including any category II perform...
P F
1 Dez, 2024
Arthrotomy for Temporomandibular Joint (TMJ) Evaluation of Hearing Impairment or Loss &nbs...
P F
1 Dez, 2024
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
1 Dez, 2024
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
18 Nov, 2024
We have completed our review of the 20 de janeiro25 current procedural terminology (CPT) including any ...
P F
1 Nov, 2024
2025 Chimeric Antigen Receptor (CAR) T-cell Therapy for CancersTemporary T-Codes have been deleted a...
F
1 Nov, 2024
The following payment guidelines are applicable to local in-network facilities only that are reimbur...
P
1 Nov, 2024
BCBSRI is committed to supporting primary care providers and is excited to announce additional reimb...
P F
1 Nov, 2024
Arthrotomy for Temporomandibular Joint (TMJ) Effective 1 de janeiro, 2025, CPT code 21010 wil...
P F
1 Nov, 2024
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
1 Nov, 2024
The following new policies have been created. Effective dates vary so please review the full text of...
P B F
1 Nov, 2024
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
1 Out, 2024
We have completed our review of the 20 de outubro24 Healthcare Common Procedure Coding System (HCPCS) c...
P F
1 Out, 2024
Telemedicine Telephone Services for Commercial Products & Medicare Advantage PlansEffective Janu...
P F
1 Out, 2024
Biomarker Testing in Risk Assessment and Management of Cardiovascular DiseaseEffective 1 de dezembro, 2...