Medical Review
Medical Policies
The medical policies listed below reflect medical criteria used/developed by Blue Cross and Blue Shield of Kansas. These medical policies do not guarantee benefits under BCBSKS member contracts.
A BCBSKS medical policy may apply to professional providers, to institutional providers or to both. That’s why the medical policy format shows separate effective dates for professional and institutional providers. It’s also why if you compare the list of professional medical policies to the list for institutional providers there could be a difference.
BCBSKS only displays the most current version of a medical policy. When updated policies become effective, prior versions are removed from this Web site.
These are the most recent policy updates.
- Posted 05/28/2025
- Amniotic Membrane and Amniotic Fluid
- Artificial Intervertebral Disc: Cervical Spine
- Autografts and Allografts in the Treatment of Focal Articular Cartilage Lesions
- Autologous Chondrocyte Implantation for Focal Articular Cartilage Lesions
- Bio-Engineered Skin and Soft Tissue Substitutes
- Deep Brain Stimulation
- Dry Needling of Myofascial Trigger Points
- Interventions for Progressive Scoliosis
- Intra-Articular Hyaluronan Injections for Osteoarthritis
- Low Intensity Pulsed Ultrasound Fracture Healing Device
- Meniscal Allografts and Other Meniscus Implants
- Minimally Invasive Approaches to Vertebral Fractures
- Molecular Genomic Profiling for Cancers of Unknown Primary
- Orthopedic Applications of Platelet-Rich Plasma
- Percutaneous Intradiscal Electrothermal Annuloplasty, Radiofrequency Annuloplasty, Biacuplasty and Intraosseous Basivertebral Nerve Ablation
- Sacral Nerve Neuromodulation / Stimulation
- Scanning Computerized Ophthalmic Diagnostic Imaging Devices
- Surgical Treatment of Femoroacetabular Impingement
- Posted 05/13/2025
- Cardiac Rehabilitation in the Outpatient Setting
- Germline Genetic Testing for Hereditary Breast/Ovarian Cancer Syndrome and Other High-Risk Cancers (BRCA1, BRCA2, PALB2)
- Home Non-invasive Positive Airway Pressure Devices for the Treatment of Respiratory Insufficiency and Failure
- Open and Thoracoscopic Approaches to Treat Atrial Fibrillation and Atrial Flutter (Maze and Related Procedures)
- Outpatient Pulmonary Rehabilitation
Medical Policy Information for Out-of-Area Members
To view the out-of-area Blue Plan's medical policy information, enter the first three letters of the member's identification number on the Blue Cross Blue Shield ID card, and click "GO."
If you experience difficulties or need additional information, please contact 800-676-BLUE.
Medical Policies
To search all medical policies by keyword or CPT code, use this search tool.
You can also filter medical policies by the first letter of the policy title using the dropdown below.
Dental Policies
The dental policies listed below do not contain coding information. An Availity login is required to access the dental policies with full coding information. Access Availity for dental policies with full coding information here.
Archived Policies
No review or update is scheduled on these Medical Policies. If there are questions about coverage of this service, please contact Blue Cross and Blue Shield of Kansas customer service, your professional or institutional relations representative, or submit a predetermination request.