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1 abr, 2021

Policies recently reviewed for annual update

The following policies were recently reviewed for annual update. The full texts of these policies are available in the Provider section of bcbsri.com.

  • Actigraphy
  • Anastomosis of Extracranial-Intracranial Arteries
  • Auditory Brain Stem Implant
  • Autologous Platelet Derived Growth Factors
  • Benign Skin Lesion and Viral Infectious Lesion Removal
  • Breast Pump – Hospital Grade
  • Clinical Trials Medicare Advantage Plans
  • Constraint-Induced Movement Therapy
  • COVID-19 Monoclonal Antibody Treatment
  • Cranial Electrotherapy Stimulation and Auricular Electrostimulation
  • Dermatologic Applications of Photodynamic Therapy
  • Dry Needling for Trigger Point for Myofascial Pain
  • Emergency Room Reimbursement
  • Evaluation of Biomarkers for Alzheimer’s Disease (formally Cerebrospinal Fluid and Urinary Biomarkers for Alzheimer’s Disease
  • Fecal Calprotectin Testing
  • Islet Cell Transplant
  • Medical Records Standards
  • Navigated Transcranial Magnetic Stimulation
  • Novel Biomarkers in Risk Assessment and Management of Cardiovascular Disease
  • Optical Coherence Tomography of the Anterior Eye Segment
  • Pediatric Dental Services- Essential Benefit
  • Peroral Endoscopic Myotomy for Treatment of Esophageal Achalasia
  • Prior Authorization of Drugs
  • Prostatic Stent -Temporary
  • Radiology Imaging Interpretation – Emergency Room
  • Routine Foot Care and Nail Debridement
  • Serum Tumor Markers for Breast and Gastrointestinal Malignancies
  • Steroid-Eluting Sinus Stents
  • Surgical Deactivation of Migraine Headache Trigger Points
  • Transanal Radiofrequency Treatment of Fecal Incontinence
  • Transcutaneous Electrical Nerve Stimulation
  • Vestibular Function Test

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."