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1 jun, 2022

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:

  • Auditory Brain Stem Implant
  • CA 125
  • Chelation Therapy for Off-Label Uses
  • Chronic Intermittent Intravenous Insulin Therapy
  • Cranial Electrotherapy Stimulation and Auricular Electrostimulation
  • Disposable Negative Pressure Wound Therapy
  • Electrogastrography (EGG)
  • Endometrial Ablation
  • Evaluation of Hearing Impairment/Loss
  • Fetal Surgery for Prenatally Diagnosed Malformations
  • First Trimester Detection of Down Syndrome Using Fetal Ultrasound Markers Combined with Maternal Serum Assessment
  • Gait Analysis
  • Gastric Electrical Stimulation – Insertion
  • Glucose Monitoring – Home - Non-OneTouch Brand
  • Home Spirometry
  • Home Uterine Activity Monitoring (HUAM)
  • Infertility Services
  • Laser Treatment for Proliferative Vascular Lesions
  • Local or Whole Body Hyperthermia (Previously known as Hyperthermia for Cancer Treatment)
  • Long Term Acute Care Hospital (LTACH) Admission and Transition of Care Criteria
  • Microvolt T-Wave Alternans Testing
  • Minimally Invasive Coronary Artery Bypass Graft Surgery
  • New Technologies and Miscellaneous Services
  • Non-Contact Ultrasound Treatment for Wounds
  • Optical Diagnostic Devices for Evaluating Skin Lesions Suspected of Malignancy
  • Phototherapy for the Treatment of Seasonal Affective Disorder
  • Prescription Digital Therapeutics for Substance Abuse
  • Preventive Services for Commercial Members 
  • Preventive Services for Medicare Advantage Plans 
  • Self-Treatment or Treatment of Immediate Family Members
  • Steroid-Eluting Sinus Stents and Implants
  • Surgery for Groin Pain in Athletes
  • Surgical Deactivation of Migraine Headache Trigger Sites
  • Surgical Ventricular Restoration

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."