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1 Set, 2019

Policies recently reviewed for annual update

The following policies were recently reviewed for annual update. The full text of these policies are available in the Provider section of bcbsri.com.

  • Axial Lumbosacral Interbody Fusion
  • Behavioral Health Services
  • Cochlear Implants
  • Colorectal Screening Mandate
  • Dry Needling of Myofascial Trigger Points
  • Home Uterine Activity Monitoring
  • Hyperthermia for Cancer Treatment
  • Intraocular Lens (IOL) Implants
  • Measurement of Small Low-Density Lipoproteins (LDL) Particles
  • Mental Illness and Substance Use Disorders Mandate
  • New Provider Credentialing Process
  • Ophthalmologic Techniques for Evaluating the Posterior Segment for Glaucoma
  • Orthotic and Prosthetic Services Mandate
  • Paraspinal Surface Electromyography (SEMG) to Evaluate and Monitor Back Pain
  • Percutaneous Electrical Nerve Stimulation and Percutaneous Neuromodulation Therapy
  • Peripheral Subcutaneous Field Stimulation
  • Private Duty Nursing
  • Progesterone Therapy as a Technique to Reduce Preterm Birth in High-Risk Pregnancies
  • Prolia and Xgeva (denosumab)
  • Prolonged Physician Services
  • Prostatic Urethral Lift
  • Provenge (sipuleucel-T)
  • Radicava (edaravone)
  • Self-Treatment or Treatment of Immediate Family Members
  • Spinraza (nusinersen)
  • Stelara (ustekinumab)
  • Ultrasonographic Measurement of Carotid Intima-Medial Thickness as an Assessment of Subclinical Artherosclerosis
  • Viscocanalostomy and Canaloplasty
  • Xiaflex (clostridial collagenase)
  • Yescarta (axicabtagene)

For your review, we also post monthly drafts of medical policies being created or reassessed. 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 drop-down “Draft Medical Policies."