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

Policies

P F
Jun 1, 2019
Effective August 1, 2019, for Commercial members only, CPT codes 86003 and 86008, for Allergy Testin...
P F
Jun 1, 2019
Effective 8/1/19 the Hospital Based Clinic policy has been updated to reflect that BCBSRI requires a...
P F
Jun 1, 2019
The following policies were recently reviewed for annual update. The full text of these policies is ...
P F
Jun 1, 2019
The following new policies have been created. Effective dates vary so please review the full text of...
P B F
Jun 1, 2019
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
May 1, 2019
We have completed our review of the additional CPT and HCPCS code changes for January 2019. These up...
P B F
May 1, 2019
Behavioral Health Integration Services policy PBF This policy documents payment guidelines for Coll...
P F
May 1, 2019
The following policies were recently reviewed for annual update. The full text of these policies is ...
P F
May 1, 2019
The following new policy was created. Effective dates vary so please review the full text of these p...
P B F
May 1, 2019
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Apr 1, 2019
The following new policies were recently created. Effective dates vary so please review the full tex...
P F
Apr 1, 2019
Effective December 1, 2018, the 4Kscore® Test (CPT code 81539) will be changed to a covered service ...
P F
Apr 1, 2019
The following policies were recently reviewed for annual update. The full text of these policies is ...
P B F
Apr 1, 2019
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Mar 1, 2019
The following policies were recently created. Effective dates vary so please review the full text of...
P F
Mar 1, 2019
Breast Ductal Lavage for Detection of Breast Cancer Non Reimbursable Health Service Codes Q1 2019...
P B F
Mar 1, 2019
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Feb 1, 2019
We have completed our review of the January 2019 current procedural terminology (CPT) and HCPCS code...
P F
Feb 1, 2019
The following policy was recently created. Effective dates vary so please review the full text of th...
P F
Feb 1, 2019
The following policies were recently reviewed for annual update. The full text of these policies is ...
P B F
Feb 1, 2019
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Jan 1, 2019
The following policies were recently created. Effective dates vary so please review the full text of...
P F
Jan 1, 2019
Effective March 1, 2019, the Allergy Testing policy has been updated to reflect ICD-10 diagnosis cod...
P F
Jan 1, 2019
This policy addresses federal and state mandates relating to coverage guidelines and cost share requ...