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Aug 1, 2020

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.

  • Ambulatory Blood Pressure Monitoring
  • Autonomic Nervous System Testing Using Portable Automated Devices
  • Bariatric Surgery
  • Bronchial Thermoplasty
  • Bronchial Valves
  • Chelation Therapy for Off-Label Uses
  • Chronic Intermittent Intravenous Insulin Therapy
  • Claim Filing Requirements for Drugs
  • Corneal Collagen Cross Linking
  • Electrical Bone Growth Stimulation of the Appendicular Skeleton- Implantable and Semi-Implantable
  • Electronic Brachytherapy for Nonmelanoma Skin Cancer
  • Fetal Surgery for Prenatally Diagnosed Malformations
  • Functional Neuromuscular Electrical Stimulation
  • Glucose Monitoring- Home – Non Preferred Device
  • Home Uterine Activity Monitoring (HUAM)
  • Immunizations Adult and Pediatric
  • Interferential Current Stimulation
  • Intra-articular Hyaluronan Injections for Osteoarthritis
  • Manipulation Under Anesthesia
  • Mobile Cardiac Outpatient Telemetry (MCOT)
  • Ocriplasmin for Symptomatic Vitreomacular Adhesions
  • Oral Appliance for Sleep Apnea
  • Patient-Controlled End of Range Motion Stretching Devices
  • Percutaneous Left Atrial Appendage Closure Devices for Stroke Prevention in Atrial Fibrillation
  • Paraspinal Surface Electromyography (SEMG) to Evaluate and Monitor Back Pain 
  • Peripheral Subcutaneous Field Stimulation
  • Phototherapeutic keratectomy (PTK)
  • Progenitor Cell Therapy for the Treatment of Damaged Myocardium due to Ischemia
  • Proteogenomic Testing for Patients with Cancer
  • Specimen Provenance Error Testing
  • Speech Therapy
  • Ultrasonographic Measurement of Carotid Intima-Medial Thickness as an Assessment of Subclinical Artherosclerosis
  • Vertebral Axial Decompression

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.”