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

Policies

P F
1 Out, 2019
It is incorrect coding to file for depression screening (G0444) with the annual wellness visit for B...
P F
1 Out, 2019
The following policies were recently reviewed for annual update. The full text of these policies are...
P F
1 Out, 2019
The following new policies have been created. Effective dates vary so please review the full text of...
P B F
1 Out, 2019
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
1 Set, 2019
The following information has been updated in the Infertility Services policy to provide clarity. N...
P F
1 Set, 2019
Effective 1 de novembro, 2019, digestive enzymes added to enteral formula via a cartridge device attach...
P F
1 Set, 2019
The following policies were recently reviewed for annual update. The full text of these policies are...
P F
1 Set, 2019
The following new policies have been created. Effective dates vary so please review the full text of...
P B F
1 Set, 2019
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
1 Ago, 2019
We have completed our review of the July additional CPT and HCPCS code changes. These updates have b...
P F
1 Ago, 2019
The Homocysteine Testing in the Screening, Diagnosis and Management of Cardiovascular Disease policy...
P F
1 Ago, 2019
Effective 1 de outubro, 2019, Hyperbariac Oxygen Therapy will no longer require prior authorization for...
P F
1 Ago, 2019
Effective 1 de outubro, 2019, the medical criteria for prior authorization is being updated for the Art...
P F
1 Ago, 2019
Effective 1 de outubro, 2019, the Prolaris™ assay (CPT code 81541) found in the medical policy Gene Exp...
P F
1 Ago, 2019
Reminder, to ensure that claims submitted for routine foot care and nail debridement are processed c...
P F
1 Ago, 2019
Ambulance Air and Water Transport BCBSRI Performance Data for Health Care Operations Buprenorphine...
P F
1 Ago, 2019
The following new policies were created. Effective dates vary so please review the full text of thes...
P B F
1 Ago, 2019
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
1 Jul, 2019
Effective 1 de setembro, 2019, CPT 97610, low frequency, non-contact, non-thermal ultrasound, includin...
P F
1 Jul, 2019
Effective 1 de setembro, 2019, transcutaneous electrical joint stimulation will be not covered for Blu...
P F
1 Jul, 2019
Effective 1 de julho, 2019, there are coverage updates within the Proprietary Laboratory Analyses policy...
P
1 Jul, 2019
As a reminder, claims for EKGs (CPT code 93000) that are filed in conjunction with a member’s annual...
P F
1 Jul, 2019
Artificial Intervertebral Disc Insertion Lumbar Spine Benlysta (belimumab) Bone Mineral Density St...
P F
1 Jul, 2019
The following new policies were created. Effective dates vary so please review the full text of thes...