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1 Jun, 2019

Policies recently reviewed for annual update

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

  • Adrenal to Brain Transplantation
  • Anastomosis of Extracranial Intracranial Arteries
  • Auditory Brain Stem Implant
  • Autonomic Nervous System Testing Using Portable Automated Devices
  • Balloon Dilation of the Eustachian Tube
  • Bariatric Surgery
  • CA 125
  • Cardiointegram
  • Circulating Tumor DNA and Circulating Tumor Cells for Cancer Management (Liquid Biopsy)
  • Coding and Payment Guidelines
  • Constraint Induced Movement Therapy
  • Contraceptive Drugs and Devices Mandate
  • Cosmetic Services/Procedures
  • Cranial Electrotherapy Stimulation and Auricular Electrostimulation
  • Drug Testing
  • Dynamic Prosturography
  • Electrical Stimulation and Electromagnetic Therapy for Wounds
  • Fetal Surgery for Prenatally Diagnosed Malformations
  • Home Health Services – Non Skilled
  • Newborn Metabolic Endocrine and Hemoglobinopathy and the Newborn Hearing Loss Screening Programs Mandate
  • Non Reimbursable Health Service codes
  • Post Payment Audits
  • Serum Tumor Markers for Breast and Gastrointestinal Malignancies
  • Skilled Nursing Facilities: Admission and Concurrent Review
  • Steroid-Eluting Sinus Stents (Former title: Implantable Sinus Stents for Postoperative Use Following Endoscopic Sinus Surgery and Recurrent Sinus Disease
  • Surgery for Groin Pain in Athletes
  • Surgical Ventricular Restoration
  • Sympathetic Therapy for the Treatment of Pain

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 Medical Policies, then “Draft Medical Policies."