BCBS Rhode Island Medical Policy Updates – September 2018

Click here to view the Blue Cross Blue Shield Rhode Island Medical Policy Updates »

September 2018 Medical Policy Updates:

• 4th Quarter Non Reimbursable Health Service Codes
• Actigraphy
• Acute Inpatient Rehabilitation
• Adult Child and Family Intensive Services
• Allergy Immunotherapy Injections
• Aqueous Shunts and Stents for Glaucoma
• Asthma Management Services
• Autism Spectrum  Disorders Mandate
• Automated Point of Care Nerve Conduction Tests
• Balloon Ostial Dilation for Treatment of Chronic Rhinosinusitis
• Balloon Ostial Dilation for Treatment of Chronic Rhinosinusitis DEC 2017
• Behavioral Health Inpatient and Intermediate Levels of Care
• Bronchial Valves
• CA 125
• Cardiac Hemodynamic Monitoring
• Cochlear Implants
• Confocal Laser Endomicroscopy
• Corneal Collagen Cross-linking
• Cryosurgical Ablation of Primary or Metastatic Liver Tumors
• Dental Providers Filing Evaluation and Management for Medical Reasons
• EKG Services during Preventive Visit
• First Trimester Detection of Down Syndrome using Fetal Ultrasound Markers Combination with Mat Serum Assessment
• Functional Neuromuscular Electrical Stimulation
• Hearing Aid Mandate
• High Risk Pregnancy Services and Maternity Global Reimbursement
• High Risk Pregnancy Services and Maternity Global Reimbursement
• Home Uterine Activity Monitoring
• Hyperthermia for Cancer Treatment
• Implantable Bone Anchored and Bone Conduction Hearing Aids
• Implantation of Intrastromal Corneal Ring Segments
• Ingestible pH and Pressure Capsule
• Intraocular Lens Implants
• Laparoscopic and Percutaneous Techniques for the Myolysis of Uterine Fibroids
• Measurement of Serum Antibodies to Infliximab and Adalimumab
• Measurement of Small Low-Density Lipoprotein (LDL) Particles
• Ocriplasmin for Symptomatic Vitreomacular Adhesion
• Ophthalmologic Techniques that Evaluate the Posterior Segment for Glaucoma
• Ophthalmology Examinations and Routine Eye Exams
• Optical Coherence Tomography of the Anterior Eye Segment
• Out of Network
• Paraspinal Surface Electromyography %28SEMG%29 to Evaluate and Monitor Back Pain
• Payments for Outpatient Service Performed when a Member is Admitted as an Inpatient to a Different Hospital
• Percutaneous Left Atrial Appendage Closure Devices for Stroke Prevention in Atrial Fibrillation
• Percutaneous Left Atrial Appendage Closure Devices for Stroke Prevention in Atrial Fibrillation
• Peripheral Subcutaneous Field Stimulation
• Phototherapeutic Keratectomy
• Phototherapy for the Treatment of Seasonal Affective Disorder
• Prior Authorization for Procedures
• Respiratory Syncytial Virus Immunoglobulin
• Respiratory Syncytial Virus Immunoglobulin
• Respiratory Syncytial Virus Immunoglobulin – PREAUTH
• Respiratory Syncytial Virus Immunoglobulin – PREAUTH
• Salivary Estriol as Risk Predictor for Preterm Labor and Management of Menopause  and or  Aging
• Semi and Fully Implantable Middle Ear Hearing Aids
• Signal-averaged electrocardiography
• Sphenopalatine Ganglion Block for Headache Final
• Structured Screening and Brief Intervention Services
• Transcatheter Mitral Valve Repair
• Transcranial Magnetic Stimulation
• Tumor Treatment Fields Therapy
• Varicose Vein Treatment
• Viscocanalostomy and Canaloplasty

Click here to view the Blue Cross Blue Shield Rhode Island Medical Policy Updates »

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