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1 Jun, 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:

  • Adult Child and Family Intensive Services
  • Artificial Intervertebral Disc Insertion Lumbar Spine
  • Assays of Genetic Expression in Tumor Tissue as a Technique to Determine Prognosis in Patients with Breast Cancer
  • Bariatric Surgery
  • Cardiac Rehabilitation
  • Chelation Therapy for Off-label Uses
  • Chronic Intermittent Intravenous Insulin Therapy
  • Cochlear Implants
  • Comprehensive Genomic Profiling for Selecting Targeted Cancer Therapies
  • Corneal Collagen Cross Linking
  • Corneal Topography, Computer Assisted Corneal Topography
  • Cosmetic Services/Procedures
  • Dermatologic Applications of Photodynamic Therapy
  • Diagnosis and Treatment of Sacroiliac Joint
  • Epidural Injections for Pain Management
  • Focal Treatment of Prostate Cancer
  • Gender Reassignment Surgery
  • High Risk Maternity Visits
  • Home Spirometry
  • Immunizations Adult and Pediatric
  • Ingestible pH and Pressure Capsule
  • Intravitreal and Punctum Corticosteroid Implants (updated covered diagnosis list)
  • Lactation Consultations
  • Medical Necessity
  • Meniscal Allograft Transplantation and Collagen Meniscus Implants
  • Molecular Markers in Fine Needle Aspiration of the Thyroid
  • Myoelectric Assist Orthoses for the Upper Limb
  • Ocriplasmin for Symptomatic Vitreomacular Adhesions
  • Ophthalmologic Techniques that Evaluate the Posterior Segment Glaucoma
  • Outpatient Pulmonary Rehabilitation
  • Prior Authorization for Procedures
  • Prior Authorization via Web-Based Tool for Durable Medical Equipment (DME)
  • Provider Credentialing and Recredentialing Process (Updated Title)
  • Telemedicine Services for Commercial Products
  • Therapeutic Eyeglasses and Contact Lenses
  • Transtympanic Micropressure Applications as a Treatment of Meniere's Disease

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."