Updates were made that impact HCPCS codes J1748, J8611, J8612, Q5137. Please refer to details below....

We have completed our review of the 20 de julio24 CPT code changes, including any category II performanc...

Emergency Department (ED) Outpatient Facility Evaluation and Management (E/M) Coding PolicyAs part o...

Effective 1 de septiembre de 2024, prior authorization will be removed from 95805: Multiple sleep latency ...

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

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

G2211 will be considered NSR effective 1 de julio de 2024Effective 1 de julio de 2024, CPT G2211 code will ...

Minimal Residual Disease Testing for CancerEffective 1 de agosto de 2024, the medical criteria used ...

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

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

G2211 will be considered NSR effective 1 de julio de 2024Effective 1 de julio de 2024, CPT G2211 code will ...

Prior Authorization via Web-Based Tool for Durable Medical Equipment (DME)Effective 1 de julio de 2024, HC...

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

The following new policy was recently created:Fractional Carbon Dioxide (CO2) Laser Ablation Treatme...

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

The following new policies were recently created:Axillary Reverse Mapping for the Prevention of Brea...

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

Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms Effective 1 de junio, 20...

We have completed our review of the 20 de abril24 CPT code changes, including any category II performan...

We have completed our review of the 20 de abril24 Healthcare Common Procedure Coding System (HCPCS) cha...

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

IQ criteria updatesEffective 1 de mayo de 2024 – IQ criteria updates to the CP:Procedures Reduction Mammop...

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

The following new policy was recently created:Suture Button Suspensionplasty Fixation System for Thu...