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1 Nov, 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.

  • Acute Inpatient Rehabilitation Level of Care
  • Ambulatory Blood Pressure Monitoring
  • Autologous Chondrocyte Transplantation
  • Bone Turnover Markers
  • Chelation Therapy for Off-Label Use
  • Clinical Trials Mandate Commercial
  • Electrical Bone Growth Stimulation of Appendicular Skeleton Invasive and Non-Invasive
  • First Trimester Detection of Down Syndrome Using Fetal Ultrasound Markers Combined with Maternal Serum Assessment
  • Hearing Aid Mandate
  • Lactation Consultation
  • Laser Treatment for Proliferative Vascular Lesions
  • Long Term Acute Care Hospital(LTACH) Admission and Discharge
  • Lysis of Epidural Adhesions
  • Mastectomy Treatment, Breast Reconstruction and Hospital Stays Mandate
  • Measurement of Serum Antibodies to Infliximab and Adalimumab
  • Medical Necessity
  • Molecular Testing in the Management of Pulmonary Nodules
  • Monitored Anesthesia Care for Gastrointestinal Endoscopic Procedures
  • Oral Nutrition Mandate
  • Ovarian and Internal Iliac Vein Embolization as a Treatment of Pelvic Congestion Syndrome
  • Percutaneous Tibial Nerve Stimulation
  • Phototherapeutic Keratectomy
  • Radium 223 Xofigo for Treatment of Metastatic Castration Resistant Prostate Cancer
  • Speech Therapy
  • Stereotactic Body Radiation Therapy
  • Therapeutic Shoes for Diabetics Mandate
  • Timely Filing

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."