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1 Mar, 2024

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 Services – Ground
  • Behavioral Health Outpatient Professional Services
  • Buprenorphine for Treatment of Opioid Dependence
  • Evaluation of Hearing Impairment or Loss 
  • Fecal Calprotectin Testing
  • Gait Analysis
  • Health and Behavior Assessment
  • Home Spirometry
  • Homocysteine Testing in the Screening, Diagnosis, and Management of Cardiovascular Disease and Venous Thromboembolic Disorders
  • Immune Cell Function Assay
  • Intracellular Micronutrient Analysis
  • Laser Interstitial Thermal Therapy for Neurological Conditions
  • Laser Treatment of Onychomycosis
  • Local or Whole Body Hyperthermia 
  • Magnetic Capsule Endoscopy
  • Medical Necessity
  • Multitarget Polymerase Chain Reaction Testing for Diagnosis of Bacterial Vaginosis
  • New Technology and Miscellaneous Services
  • Prior Authorization via Web-Based Tool for Procedures
  • Radiofrequency Coblation Tenotomy for Musculoskeletal Conditions 
  • Removal of Implantable Devices
  • Rhinomanometry and Acoustic Optical Rhinomanometry
  • Skilled Nursing Facilities 
  • Sphenopalatine Ganglion Block for Headache 
  • Stationary Ultrasonic Diathermy Devices 
  • Suture Button Suspensionplasty Fixation System for Thumb Carpometacarpal Osteoarthritis
  • Transesophageal Endoscopic Therapies for Gastroesophageal Reflux 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."