Telemedicine Telephone Services for Commercial Products & Medicare Advantage PlansEffective Janu...

Biomarker Testing in Risk Assessment and Management of Cardiovascular DiseaseEffective 1 de diciembre, 2...

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...

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

MHK UpdatesEffective 1 de noviembre de 2024, IQ criteria updates to the CP:Procedures Transcatheter Aortic...

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

The following new policies have been created. The effective dates may vary so please review the full...

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

We have completed our review of the 20 de octubre24 Healthcare Common Procedure Coding System (HCPCS) c...

CMS released a new code J0175 effective 2 de juliond, 2024. These updates will be added to our claims pr...

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

MHK authorization updateEffective 1 de octubre de 2024, prior authorization criteria for Water Vapor Ther...

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

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

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

Revisions have been made for three (3) of the 20 de julio24 current procedural terminology (CPT) Categor...

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 ...