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.
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.