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 de 2024, C...

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...

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

Effective 7 de abril de 2024, the Unlisted Procedures payment policy has been updated to reflect when a s...

Effective 7 de abril de 2024, the Unlisted Procedures payment policy has been updated to reflect when a s...

Islet Transplantation for Chronic Pancreatitis and Donislecel-jujn for Type 1 Diabetes (REVISED POLI...

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...

We have completed our review of the 20 de enero24 Healthcare Common Procedure Coding System (HCPCS) c...

We have completed our review of the 20 de enero24 CPT code changes, including any category II perform...

Aqueous Shunts and Stents for Glaucoma Effective 1 de marzo de 2024, CPT Codes 66179, 66180, 66184, and 6...

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...

Artificial Pancreas Device System     Effective 1 de febrero de 2024, we have updated the medically nece...

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...

Some genetic testing services are not covered and a contract exclusion for any self-funded group tha...