- P = Professional
- B = Behavioral health
- F = Facilities
Policies
P F
1 jul, 2025
We have completed our review of the 20 de julio25 CPT code changes, including any category II performanc...
P F
1 jul, 2025
Immunizations Adult and Pediatric Policy Effective 1 de julio de 2025, there are five new codes that ...
P B F
1 jul, 2025
Behavioral Health Outpatient Professional ServicesEffective 1 de julio de 2025, clarifications for provide...
P F
1 jul, 2025
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
1 jul, 2025
The following new policy was created. Effective dates vary so please review the full text of this po...
P B F
1 jul, 2025
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
10 jun, 2025
We have completed our review of the 20 de julio25 CPT code changes, including any category II performanc...
P F
9 jun, 2025
We have completed our review of the 20 de julio25 Healthcare Common Procedure Coding System (HCPCS) chan...
P F
4 jun, 2025
This is a newly created payment policy which will go into effect on 4 de agosto de 2025. This new policy ...
P F
1 jun, 2025
Emergency Department Outpatient Facility Evaluation and Management Coding This policy was updat...
P B F
1 jun, 2025
Laboratory Testing Investigational ServicesEffective 1 de agosto de 2025, CPT codes 0371U, 0372U, 0373U, ...
P F
1 jun, 2025
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
1 jun, 2025
The following new policies were created. Effective dates vary so please review the full text of thes...
P B F
1 jun, 2025
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
1 de mayo de 2025
DRG Mapping PolicyWe updated the description within the policy and added the following statement. No...
P F
1 de mayo de 2025
Biomarker Testing in Risk Assessment and Management of Cardiovascular Disease  ...
P F
1 de mayo de 2025
Effective 1 de julio de 2025, updates will be made in the online authorization tool for the following Inte...
P F
1 de mayo de 2025
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
1 de mayo de 2025
The following new policies were created. Effective dates vary so please review the full text of thes...
P B F
1 de mayo de 2025
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P
1 abr, 2025
Allergy Immunotherapy Injections The above referenced policy was updated to clarify that BCBSRI...
P F
1 abr, 2025
We have completed our review of the 20 de abril25 Healthcare Common Procedure Coding System (HCPCS) cha...
P F
1 abr, 2025
Prior authorization via web-based tool for Durable Medical Equipment (DME)Effective 1 de junio de 2025, fo...
P F
1 abr, 2025
The following policies were recently reviewed for annual update. The full texts of these policies ar...