- P = Professional
- B = Behavioral health
- F = Facilities
Policies
P B F
1 feb, 2025
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P
1 ene, 2025
We have completed our review of the enero de 2025 Healthcare Common Procedure Coding System (HCPCS) c...
P
1 ene, 2025
Prior Authorization via Web Based Tool for Durable Medical Equipment (DME) &n...
P F
1 ene, 2025
The following policies were recently reviewed for annual update. The full texts of these policies ar...
B F
1 ene, 2025
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
5 dic, 2024
UPDATE 12/5/2024 *CPT codes 0913T, 0914T, 0915T, 0916T, 0917T, 0918T, 0923T, 0933T will not req...
P F
1 dic, 2024
We have completed our review of the enero de 2025 CPT code changes, including any category II perform...
P F
1 dic, 2024
Arthrotomy for Temporomandibular Joint (TMJ) Evaluation of Hearing Impairment or Loss &nbs...
P F
1 dic, 2024
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
1 dic, 2024
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
18 nov, 2024
We have completed our review of the enero de 2025 current procedural terminology (CPT) including any ...
P F
1 nov, 2024
2025 Chimeric Antigen Receptor (CAR) T-cell Therapy for CancersTemporary T-Codes have been deleted a...
F
1 nov, 2024
The following payment guidelines are applicable to local in-network facilities only that are reimbur...
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...