• P = Professional
  • B = Behavioral health
  • F = Facilities

Policies

P F
18 nov, 2024
We have completed our review of the enero de 2025 current procedural terminology (CPT) including any ...
P
1 nov, 2024
BCBSRI is committed to supporting primary care providers and is excited to announce additional reimb...
P F
1 nov, 2024
Arthrotomy for Temporomandibular Joint (TMJ) Effective 1 de enero de 2025, CPT code 21010 wil...
P F
1 nov, 2024
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
1 nov, 2024
The following new policies have been created. Effective dates vary so please review the full text of...
P B F
1 nov, 2024
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
1 oct, 2024
We have completed our review of the 20 de octubre24 Healthcare Common Procedure Coding System (HCPCS) c...
P F
1 oct, 2024
Telemedicine Telephone Services for Commercial Products & Medicare Advantage PlansEffective Janu...
P F
1 oct, 2024
Biomarker Testing in Risk Assessment and Management of Cardiovascular DiseaseEffective 1 de diciembre, 2...
P B F
1 oct, 2024
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
1 oct, 2024
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
1 sep, 2024
Emergency Department (ED) Outpatient Facility Evaluation and Management (E/M) Coding PolicyAs part o...
P F
1 sep, 2024
MHK UpdatesEffective 1 de noviembre de 2024, IQ criteria updates to the CP:Procedures Transcatheter Aortic...
P F
1 sep, 2024
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
1 sep, 2024
The following new policies have been created. The effective dates may vary so please review the full...
P B F
1 sep, 2024
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
12 ago, 2024
We have completed our review of the 20 de octubre24 Healthcare Common Procedure Coding System (HCPCS) c...
P F
12 ago, 2024
CMS released a new code J0175 effective 2 de juliond, 2024. These updates will be added to our claims pr...
P F
1 ago, 2024
Emergency Department (ED) Outpatient Facility Evaluation and Management (E/M) Coding PolicyAs part o...
P F
1 ago, 2024
MHK authorization updateEffective 1 de octubre de 2024, prior authorization criteria for Water Vapor Ther...
P F
1 ago, 2024
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
1 ago, 2024
The following new policies have been created. Effective dates vary so please review the full text of...
P B F
1 ago, 2024
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
24 jul, 2024
Revisions have been made for three (3) of the 20 de julio24 current procedural terminology (CPT) Categor...