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1 Out, 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:

  • Actigraphy
  • Automated Point–of-Care Nerve Conduction Tests
  • Cardiac Hemodynamic Monitoring
  • Cranial Orthoses (Adjustable) for Positional Plagiocephaly and Craniosynostoses
  • Electronic Brachytherapy for Nonmelanoma Skin Cancer
  • Electrical Bone Growth Stimulation of the Appendicular Skeletal-Implantable and Semi-Implantable
  • Hyperbaric Oxygen Therapy
  • Interferential Current Stimulation
  • Lung Liquid Biopsy
  • Lysis of Epidural Adhesions
  • Measurement of Exhaled Nitric Oxide and Exhaled Breath Condensate in the Diagnosis and Management of Respiratory Disorders
  • Oral Appliances and Medical Management for Sleep Apnea
  • Out-of-Network Services Requests 
  • Percutaneous and Subcutaneous Tibial Nerve Stimulation
  • Percutaneous Left Atrial Appendage Closure Devices for Stroke Prevention in Atrial Fibrillation
  • Peripheral Artery Disease (PAD) Rehabilitation
  • Prior Authorization Cardiology and Radiology Services
  • Prior Authorization of Spinal Procedures
  • Private Duty Nursing
  • Proteomic Testing for Targeted Therapy in Non-Small-Cell Lung Cancer
  • Radioembolization for Primary or Metastatic Tumors of the Liver
  • Salivary Estriol as Risk Predictor for Preterm Labor and Management of Menopause and/or Aging
  • Serum Tumor Markers for Breast and Gastrointestinal Malignancies 
  • Speech Therapy
  • Surgical Left Atrial Appendage Occlusion Devices for Stroke Prevention in Atrial Fibrillation
  • Treatment for Duchenne Muscular Dystrophy 
  • Urinary Biomarkers for Cancer Screening, Diagnosis and Surveillance

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 “Draft Medical Policies" drop-down.