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1 oct, 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:

  • Actigraphy
  • Artificial Intervertebral Disc Insertion Lumbar Spine
  • Bronchial Thermoplasty
  • Buprenorphine Implant for Treatment of Opioid Dependence
  • Cryosurgical Ablation of Miscellaneous Solid Tumors other than Renal, Liver and Prostate
  • Dental Services for Accidental Injury
  • Desensitization Treatment for Peanut Allergies
  • Digital Health Therapies for Attention Deficit/Hyperactivity Disorder
  • Electrical Bone Growth Stimulation of the Appendicular Skeleton - Implantable and Semi-Implantable
  • Electromagnetic Navigational Bronchoscopy
  • Extracorporeal Shock Wave Treatment for Plantar Fasciitis and Other Musculoskeletal Conditions
  • Hospital Laboratory Pass Through Billing
  • Implantable Bone-Conduction and Bone-Anchored Hearing Aids
  • Ingestible pH and Pressure Capsule
  • Intensity Modulated Radiotherapy – Prostate
  • Interspinous Interlaminar Stabilization Distraction Devices Spacers
  • Islet Transplantation
  • Medicare Advantage Plans National and Local Coverage Determinations
  • Molecular Testing in the Management of Pulmonary Nodules
  • Paraspinal Surface Electromyography (SEMG) to Evaluate and Monitor Back Pain
  • Percutaneous Electrical Nerve Stimulation and Percutaneous Neuromodulation Therapy
  • Prior Authorization of Drugs (drug list updated)
  • Proteogenomic Testing for Patients with Cancer
  • Semi and Fully Implantable Middle Ear Hearing Aid – Insertion

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."