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BCBS Rhode Island Medical Policy Updates – August 2022
Click here to view the Blue Cross Blue Shield BCBS Rhode Island Medical Policy Updates »
August 2022 Medical Policy Updates:
- Advance Care Planning
- Advanced Practice Providers
- Amniotic Membrane and Amniotic Fluid –
- Artificial Intervertebral Disc Insertion Lumbar Spine
- Behavioral Health Outpatient Professional Services
- Breast Pump Hospital Grade
- Buprenorphine for Treatment of Opioid Dependence
- CA25
- Cardiointegram
- Carotid Angioplasty Without Associated Stenting And Embolic Protection
- Cochlear Implants
- Coding and Payment Guidelines Modifiers
- Corneal Collagen Cross-Linking
- COVID-19 Diagnostic Testing
- COVID-19 Diagnostic Testing Vaccine and Antibody Treatment Administration Reimbursement
- COVID-19 Monoclonal Antibody Treatment and Antiviral IV Medications
- COVID-19 Vaccinations
- Cryoablation Radiofrequency Ablation and Laser Ablation for Treatment of Chronic Rhinitis
- Cryosurgical Ablation of Miscellaneous Solid Tumors other than Renal%2C Liver and Prostate
- Dental Services for Accidental Injury
- Dermatologic Applications of Photodynamic Therapy
- Desensitization Treatment for Peanut Allergies
- Diagnosis and Treatment of Sacroiliac Joint Pain
- Digital Health Therapies for Attention Deficit.Hyperactivity Disorder
- DRAFT Arthrotomy for TMJ
- DRAFT Intensity-Modulated Radiotherapy – Abdomen%2C Pelvis and Chest
- DRAFT Intensity-Modulated Radiotherapy – Central Nervous System Tumors
- DRAFT Intensity-Modulated Radiotherapy – Head%2C Neck and Thyroid
- DRAFT Percutaneous Left Atrial Appendage Closure Devices for Stroke Prevention in Atrial Fibrillation
- DRAFT Surgical Left Atrial Appendage Occlusion Devices for Stroke Prevention in Atrial Fibrillation
- Dry Hydrotherapy for Chronic Pain Conditions
- Electrical Bone Growth Stimulation of the Appendicular Skeleton – Implantable and Semi-Implantable
- Electrical Stimulation for Treatment of Arthritis
- Electrical Stimulation for Treatment of Arthritis
- Electromagnetic Navigational Bronchoscopy
- Enhanced External Counterpulsation
- Extracorporeal Shock Wave Treatment for Plantar Fasciitis and Other Musculoskeletal Conditions
- Fecal Calprotectin Testing
- Focal Treatments for Prostate Cancer
- Gene Expression Profiling and Protein Biomarkers for Prostate Cancer Management
- Genetic Testing Services
- Genetic Testing Services –
- Health and Behavior Assessment
- Home Prothrombin Time Monitoring
- Hospital Audit Process
- Hospital Laboratory Pass Through Billing
- Hydrogel Spacer Use During Radiotherapy for Prostate Cancer
- Image Guided Minimally Invasive Spinal Decompression for Spinal Stenosis
- Implantable Bone Conduction and Bone Anchored Hearing Aids
- Ingestible pH and Pressure Capsule
- Intensity-Modulated Radiotherapy – Breast and Lung
- Intensity-Modulated Radiotherapy – Prostate
- Interferential Current Stimulation
- Interspinous Interlaminar Stabilization Distraction Devices Spacers
- Intra-Articular Hyaluronon Injections for Osteoarthritis
- Intraocular Lens IOL Implants
- Intraocular Radiotherapy for Age-Related Macular Degeneration
- Laboratory Tests Post Transplant and for Heart Failure
- Laparoscopic Percutaneous and Transcervical Techniques for Uterine Fibroid Myolysis
- Low Level Laser Therapy
- Manipulation Under Anesthesia
- Medical Record Standards
- Medicare Advantage Plans National and Local Coverage Determinations
- Meniscal Allografts and Other Meniscal Implants
- Mobile Cardiac Outpatient Telemetry
- Molecular Testing in the Management of Pulmonary Nodules
- Navigated Transcranial Magnetic Stimulation
- New Technology and Miscellaneous Services
- Non Reimbursable Health Service Codes
- Non Reimbursable Health Service Codes_3
- Occipital Nerve Stimulation Insertion
- Oral Appliances and Medical Management for Sleep Apnea
- Ordering Provider NPI Number Requirement
- Orthopedic Applications of Platelet Rich Plasma
- Outpatient Pulmonary Rehabilitation
- Paraspinal Surface Electromyography %28SEMG%29 to Evaluate and Monitor Back Pain
- Percutaneous Electrical Nerve Stimulation and Percutaneous Neuromodulation Therapy
- Peripheral Subcutaneous Field Stimulation
- Phrenic Nerve Stimulation for Central Sleep Apnea
- Physician Concierge Services
- Post Payment Audits
- Preventive Services for Medicare Advantage Plans
- Prior Authorization for Procedures
- Prior Authorization of Drugs
- Prior Authorization of Drugs 8.16.2022
- Private Duty Nursing
- Professional Reporting Requirements for Services Not Personally Performed
- Progenitor Cell Therapy for the treatment of Damaged Myocardium due to Ischemia
- Proprietary Laboratory Analyses PLA
- Proteogenomic Testing for Patients with Cancer
- Provider Transparency
- Radiopharmaceuticals
- Remote Electrical Neuromodulation for Migraines
- Removal of Implantable Devices
- Semi and Fully Implantable Middle Ear Hearing Aids
- Serologic Genetic and Molecular Screening for Colorectal Cancer
- Serum Tumor Markers for Breast and Gastrointestinal Malignancies
- Surgical and Debulking Treatments for Lymphedema
- Surgical Treatment of Snoring and Obstructive Sleep Apnea Syndrome
- Synthetic Cartilage Implants for Joint Pain
- Telemedicine_Telephone Services for Commercial Products
- Telemedicine_Telephone Services for Medicare Advantage Plans During the Covid_19 Public Health Emergency
- TEMPORARY COVID-19 Diagnostic Testing_1
- TEMPORARY Encounter for Determination of Need for COVID-19 Diagnostic Testing
- Timely Filing
- Transurethral Water Vapor Thermal Therapy and Transurethral Water Jet Ablation Aquablation for Benign Prostatic Hypertrophy
- Treatment for Duchenne Muscular Dystrophy
- Tumor Treating Fields Therapy
- Tumor-Informed Circulating Tumor DNA Testing for Cancer Management
- Varicose Vein Treatment
Click here to view the Blue Cross Blue Shield BCBS Rhode Island Medical Policy Updates »
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BCBS Rhode Island
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