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

• Acute Inpatient Rehabilitation Level of Care
• Amniotic Membrane and Amniotic Fluid
• Arthrotomy for Temporomandibular Joint (TMJ) Disorder
• Auditory Brainstem Implant
• Cardiointegram
• Chelation Therapy for Off-Label Uses
• Chronic Intermittent Intravenous Insulin Therapy
• Constraint-Induced Movement Therapy
• Corneal Collagen Cross-Linking
• Corneal Topography, Computer Assisted Corneal Topography, Photokeratoscopy
• Dynamic Posturography
• Envisia for Idiopathic Pulmonary Fibrosis
• Gastric Electrical Stimulation – Insertion
• Intravitreal and Punctum Corticosteroid Implants
• Laparoscopic, Percutaneous, and Transcervical Techniques for the Myolysis of Uterine Fibroids & Hysterectomies
• Measurement of Ocular Blood Flow for Glaucoma
• Microprocessor-Controlled Prostheses for the Lower Limb
• Microvolt T-Wave Alternans Testing
• Myoelectric Controlled Upper-Limb Orthoses
• Outpatient Pulmonary Rehabilitation
• Phototherapy in the Home for the Treatment of Dermatological Conditions
• Powered Exoskeleton for Ambulation in Patients with Lower-Limb Disabilities
• Prior Authorization Cardiology and Radiology Services
• Proprietary Laboratory Analyses (PLA)
• Reflectance Confocal Microscopy for Evaluating Skin Lesions for Suspected Malignancy. 96931-96936
• Retinal Telescreening for Diabetic Retinopathy
• Scanning Computerized Ophthalmic Diagnostic Imaging
• Sensory Integration and Auditory Integration Therapy
• Skin Contact Monochromatic Infrared Energy (MIRE)
• Steroid Eluting Sinus Stents and Implants
• Surgery for Groin Pain in Athletes
• Surgical Deactivation of Migraine Headache Trigger Sites
• Surgical Ventricular Restoration
• Sympathetic Therapy for Pain Treatment
• Thoracic Lumbosacral Orthosis with Pneumatics
• Transanal Radiofrequency Treatment of Fecal Incontinence
• Transpupillary Thermotherapy for Treatment of Choroidal Neovascularization
• Vestibular Function Testing

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."