The following policies were recently reviewed for annual update. The full texts of these policies are available in the Provider section of bcbsri.com.
- Adrenal to Brain Transplantation
- Ambulance Services – Ground
- Bioimpedance Devices for Detection and Management of Lymphedema
- Bone Turnover Markers for the Diagnosis and Management of Osteoporosis and Diseases Associated with High Bone Turnover
- Cardiointegram
- Coding and Payment Guidelines
- Computer Assisted Musculoskeletal Surgical Navigational Orthopedic Procedure
- Cooling Devices used in the Home and Outpatient Setting
- Coverage of Complications Following A Non-covered Service
- Dental Procedures in the Outpatient Setting
- Dental Providers Filing Evaluation and Management Services for Medical Conditions
- Electrical Stimulation and Electromagnetic Therapy for Wound Treatment
- Electrogastrography (EGG)
- Fecal Calprotectin Testing
- Fee-for-Time Compensation Arrangements (Former Title: Locum Tenens)
- Home Births
- Homocysteine Testing in the Screening, Diagnosis and Management of Cardiovascular and Venous Thromboembolic Disease
- Hydrogel Spacer Use During Radiotherapy for Prostate Cancer
- Intensive Behavior Therapy (IBT) for Obesity
- Interim Billing
- Intracellular Micronutrient Analysis
- Laser Treatment of Onycholysis
- Magnetic Esophageal Sphincter Augmentation to Treat GERD
- Measurement of Cerebrospinal Fluid and Urinary Markers
- Multimarker Serum Testing Related to Ovarian Cancer
- New Technology
- Noncontact Ultrasound Treatment for Wounds
- Non-Powered Disposable Negative Pressure Wound Therapy
- Novel Biomarkers in Risk Assessment and Management of Cardiovascular Disease
- Optical Coherence Tomography of the Anterior Eye Segment
- Proprietary Laboratory Analyses (PLA)
- Removal of Non Covered Implantable Devices
- Skilled Nursing Facilities: Admission and Concurrent Review
- Surgery for Groin Pain in Athletes
- Transanal Radiofrequency Treatment for Fecal Incontinence
- Transcutaneous Electrical Nerve Stimulation
- Transplants: Travel and Lodging for BlueCHiP for Medicare
- Transtympanic Micropressure Applications as a Treatment of Meniere’s Disease
We also post monthly drafts of medical policies being created or reassessed for your review. As a reminder, you can provide comments on draft policies for up to 30 days. Draft policies are located on the Provider homepage, under the Medical Policies section, under the drop-down “Draft Medical Policies."