The following policies were recently reviewed for annual update. The full texts of these policies are available in the Provider section of bcbsri.com.
- Absorbable Nasal Implant for Treatment of Nasal Valve Collapse
- Acupuncture Mandate for Commercial Products
- Automated Point of Care Nerve Conduction Tests
- Exondys (Eteplirsen) for Duchenne Muscular Dystrophy
- High Risk Pregnancy Services
- Home Health Services – Non-skilled
- Home Prothrombin Time Monitoring
- Infertility Services
- Intensity Modulated Radiotherapy of the Abdomen and Pelvis
- Intensity Modulated Radiotherapy of the Breast and Lung
- Intensity Modulated Radiotherapy of the Central Nervous System Tumors
- Intensity Modulated Radiotherapy of the Head, Neck or Thyroid
- Intensity Modulated Radiotherapy of the Prostate
- Laparoscopic and Percutaneous Techniques for the Myolosis of Uterine Fibroids
- Low-level Laser Therapy
- Microwave Tumor Ablation
- Molecular Markers in Fine Needle Aspiration of the Thyroid
- Non-Reimbursable Health Service Codes
- Off-Label Use of Prescription Drugs Mandate
- Optical Diagnostic Devices for Evaluating Skin Lesions Suspected of Malignancy
- Ovarian and Internal Iliac Vein Embolization as a Treatment of Pelvic Congestion Syndrome
- Percutaneous Electrical Nerve Stimulation and Percutaneous Neuromodulation Therapy
- Reflectance Confocal Microscopy for Evaluating Skin Lesions for Suspected Malignancy
- Sensory Integration Therapy and Auditory Integration Therapy
- Stereotactic Body Radiation Therapy
- Surgical Treatment of Snoring and Obstructive Sleep Apnea Syndrome
- Thermal Capsulorrhaphy as a Treatment of Joint Instability
- Transcatheter Mitral Valve Repair
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."