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1 Mar, 2021

Policies recently reviewed for annual update

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

  • Adrenal to Brain Transplantation
  • Ambulance Transport Ground
  • Aqueous Shunts and Stents for Glaucoma
  • Bioimpedance Devices for Detection and Management of Lymphedema
  • Bone Turnover Markers for the Diagnosis and Management of Osteoporosis and Diseases
  • Dental Procedures in the Outpatient Setting
  • Electrical Stimulation and Electromagnetic Stimulation for the Treatment of Arthritis
  • Electrical Stimulation and Electromagnetic Therapy for Wound Treatment
  • Endometrial Ablation
  • Genetic Testing for Diagnosis and Management of Mental Health Conditions
  • Homocysteine Testing in the Screening, Diagnosis and Management of Cardiovascular Disease
  • Hydrogel Spacer Use During Radiotherapy for Prostate Cancer
  • Immune Cell Function Assay
  • Intracellular Micronutrient Analysis
  • Laser Treatment of Onychomycosis
  • Magnetic Esophageal Sphincter Augmentation to Treat Gastrointestinal Reflux Disease
  • Measurement of Exhaled Nitric Oxide and Exhaled Breath Condensate in the Diagnosis and Management of Respiratory Disorders
  • Measurement of Small Low-Density Lipoprotein (LDL) Particles
  • Measurement of Serum Antibodies to Selected Biologic Agents
  • Medicare Advantage Plans National and Local Coverage Determinations
  • Multimarker Serum Testing Related to Ovarian Cancer
  • Non-Reimbursable Health Service Codes
  • Non-Wearable Automatic External Defibrillator
  • Prior Authorization of Cardiology and Radiology Services
  • Pulsed Radiofrequency for the Treatment of Chronic Pain
  • Radiofrequency Coblation Tenotomy for Musculoskeletal Conditions
  • Serum Biomarker Human Epididymis Protein 4
  • Telephone and Telemedicine Services for Commercial Products -Effective 1/1/21
  • Thermography
  • Transvaginal and Transurethral Radiofrequency Tissue Remodeling for Urinary Stress Incontinence
  • Urinary Biomarkers for Cancer Screening, Diagnosis and Surveillance
  • Vitamin-D Testing

We also post monthly drafts of medical policies being created or reassessed for your review. 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."