We have completed our review of the 20 de julio25 CPT code changes, including any category II performanc...

Immunizations Adult and Pediatric Policy Effective 1 de julio de 2025, there are five new codes that ...

Behavioral Health Outpatient Professional ServicesEffective 1 de julio de 2025, clarifications for provide...

The following policies were recently reviewed for annual update. The full texts of these policies ar...

The following new policy was created. Effective dates vary so please review the full text of this po...

BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...

We have completed our review of the 20 de julio25 CPT code changes, including any category II performanc...

We have completed our review of the 20 de julio25 Healthcare Common Procedure Coding System (HCPCS) chan...

This is a newly created payment policy which will go into effect on 4 de agosto de 2025. This new policy ...

Emergency Department Outpatient Facility Evaluation and Management Coding This policy was updat...

Laboratory Testing Investigational ServicesEffective 1 de agosto de 2025, CPT codes 0371U, 0372U, 0373U, ...

The following policies were recently reviewed for annual update. The full texts of these policies ar...

The following new policies were created. Effective dates vary so please review the full text of thes...

BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...

DRG Mapping PolicyWe updated the description within the policy and added the following statement. No...

Biomarker Testing in Risk Assessment and Management of Cardiovascular Disease   &nbsp...

Effective 1 de julio de 2025, updates will be made in the online authorization tool for the following Inte...

The following policies were recently reviewed for annual update. The full texts of these policies ar...

The following new policies were created. Effective dates vary so please review the full text of thes...

BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...

Allergy Immunotherapy Injections The above referenced policy was updated to clarify that BCBSRI...

We have completed our review of the 20 de abril25 Healthcare Common Procedure Coding System (HCPCS) cha...

Prior authorization via web-based tool for Durable Medical Equipment (DME)Effective 1 de junio de 2025, fo...

The following policies were recently reviewed for annual update. The full texts of these policies ar...