- P = Professional
- B = Behavioral health
- F = Facilities
Policies
P F
Jan 1, 2020
Effective February 1, 2020, CPT code 62380 for Endoscopic decompression of spinal cord, nerve root(s...
P F
Jan 1, 2020
BCBSRI claims filed with bilateral services using modifier 50 should be filed on one line. Bilateral...
P F
Jan 1, 2020
BCBSRI follows CMS payment policies with respect to bilateral services. In limited cases, CMS and CP...
P F
Jan 1, 2020
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Jan 1, 2020
The following new policies have been created. Effective dates vary so please review the full text of...
P B F
Jan 1, 2020
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Dec 1, 2019
Effective February 1, 2020, a new policy, Hospital Laboratory Pass Through Billing, has been created...
P F
Dec 1, 2019
This policy was updated to reflect any changes to codes as of October 1, 2019. Please see the full t...
P F
Dec 1, 2019
As groups renew their benefits in 2020, for members who are not in an active infertility treatment, ...
P F
Dec 1, 2019
Effective October 1, 2019, Cardiac Hemodynamic Monitoring using thoracic electrical bioimpedance wil...
P F
Dec 1, 2019
Effective January 1, 2020, the Acupuncture Mandate policy has been updated to include Medicare Advan...
P F
Dec 1, 2019
The following policies were recently reviewed for annual update. The full text of these policies are...
P B F
Dec 1, 2019
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Nov 1, 2019
Effective January 1, 2020, Transurethral Water Vapor Thermal Therapy for Benign Prostatic Hyperplasi...
P F
Nov 1, 2019
The Benign Skin Lesions and Viral Infectious Lesion Removal policy has been updated to document that...
P F
Nov 1, 2019
Effective January 1, 2020, the prior authorization requirement will be removed from Outpatient Pulmo...
P F
Nov 1, 2019
Effective January 1, 2020, the Aqueous Shunts and Stents for Glaucoma policy will be updated to refl...
P F
Nov 1, 2019
The following policies were recently reviewed for annual update. The full text of these policies are...
P B F
Nov 1, 2019
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Oct 1, 2019
We have completed our review of the additional CPT and HCPCS code changes for October 2019. These up...
P F
Oct 1, 2019
It is incorrect coding to file for depression screening (G0444) with the annual wellness visit for B...
P F
Oct 1, 2019
The following policies were recently reviewed for annual update. The full text of these policies are...
P F
Oct 1, 2019
The following new policies have been created. Effective dates vary so please review the full text of...
P B F
Oct 1, 2019
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...