• P = Professional
  • B = Behavioral health
  • F = Facilities

Policies

P F
Dec 1, 2020
Effective January 1, 2021, the policy for Retinal Telescreening for Diabetic Retinopathy has been up...
P F
Dec 1, 2020
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
Dec 1, 2020
The following new policies have been created. Effective dates vary so please review the full text of...
P B F
Dec 1, 2020
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Nov 1, 2020
We have completed our review of the October 2020 CPT code changes including any category II performa...
P F
Nov 1, 2020
Effective January 1, 2021, the following HCPCS codes will no longer require authorization and will n...
P F
Nov 1, 2020
Effective January 1, 2021, use of a catheter-based inflatable device (balloon ostial dilation) in th...
P F
Nov 1, 2020
Effective January 1, 2021, the following Healthcare Common Procedure Coding System (HCPCS) codes wil...
P F
Nov 1, 2020
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
Nov 1, 2020
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Oct 1, 2020
We have completed our review of the October 2020 current procedural terminology (CPT) code changes i...
P F
Oct 1, 2020
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
Oct 1, 2020
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
F
Oct 1, 2020
Effective October 1, 2020, BCBSRI will move CPT Code C8908 to separately reimbursed for facilities. ...
P F
Sep 1, 2020
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
Sep 1, 2020
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Aug 1, 2020
We have completed our review of the additional CPT and HCPCS code changes for July 2020. These updat...
P F
Aug 1, 2020
As part of the annual review for the Preventive Services for Commercial members, the following cover...
P F
Aug 1, 2020
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Aug 1, 2020
The following new policy has been created. Effective dates vary so please review the full text of th...
P B F
Aug 1, 2020
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Jul 1, 2020
We have completed our review of the additional CPT and HCPCS code changes for July 2020. These updat...
P F
Jul 1, 2020
Effective September 1, 2020 there will be a change in the health services codes to be submitted for ...
P F
Jul 1, 2020
The following policies were recently reviewed for annual update. The full texts of these policies ar...