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

Policies

P F
1 Out, 2024
Biomarker Testing in Risk Assessment and Management of Cardiovascular DiseaseEffective 1 de dezembro, 2...
P B F
1 Out, 2024
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
1 Out, 2024
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
1 Set, 2024
Emergency Department (ED) Outpatient Facility Evaluation and Management (E/M) Coding PolicyAs part o...
P F
1 Set, 2024
MHK UpdatesEffective 1 de novembro, 2024, IQ criteria updates to the CP:Procedures Transcatheter Aortic...
P F
1 Set, 2024
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
1 Set, 2024
The following new policies have been created. The effective dates may vary so please review the full...
P B F
1 Set, 2024
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
12 Ago, 2024
We have completed our review of the 20 de outubro24 Healthcare Common Procedure Coding System (HCPCS) c...
P F
12 Ago, 2024
CMS released a new code J0175 effective 2 de julhond, 2024. These updates will be added to our claims pr...
P F
1 Ago, 2024
Emergency Department (ED) Outpatient Facility Evaluation and Management (E/M) Coding PolicyAs part o...
P F
1 Ago, 2024
MHK authorization updateEffective 1 de outubro, 2024, prior authorization criteria for Water Vapor Ther...
P F
1 Ago, 2024
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
1 Ago, 2024
The following new policies have been created. Effective dates vary so please review the full text of...
P B F
1 Ago, 2024
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
24 Jul, 2024
Revisions have been made for three (3) of the 20 de julho24 current procedural terminology (CPT) Categor...
P F
1 Jul, 2024
Updates were made that impact HCPCS codes J1748, J8611, J8612, Q5137. Please refer to details below....
P F
1 Jul, 2024
We have completed our review of the 20 de julho24 CPT code changes, including any category II performanc...
P F
1 Jul, 2024
Emergency Department (ED) Outpatient Facility Evaluation and Management (E/M) Coding PolicyAs part o...
P F
1 Jul, 2024
Effective 1 de setembro, 2024, prior authorization will be removed from 95805: Multiple sleep latency ...
P F
1 Jul, 2024
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
1 Jul, 2024
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
1 Jun, 2024
G2211 will be considered NSR effective 1 de julho, 2024Effective 1 de julho, 2024, CPT G2211 code will ...
P F
1 Jun, 2024
Minimal Residual Disease Testing for CancerEffective 1 de agosto, 2024, the medical criteria used ...