Aetna March 2018 Medical Policy Updates

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March 2018 Medical Policy Updates:

New:

March 12, 2018 – 0927 – Luxturna (Voretigene Neparvovec-rzyl)

Revised:

March 16, 2018 – 0031 – Cosmetic Surgery
March 12, 2018 – 0001 – Transrectal Ultrasound
March 12, 2018 – 0003 – Apnea Monitors for Infants
March 12, 2018 – 0004 – Obstructive Sleep Apnea in Adults
March 12, 2018 – 0007 – Erectile Dysfunction
March 12, 2018 – 0010 – Continuous Passive Motion (CPM) Machines
March 12, 2018 – 0011 – Electrical Stimulation for Pain
March 12, 2018 – 0021 – Cardiac Rehabilitation
March 12, 2018 – 0023 – Corneal Remodeling
March 12, 2018 – 0024 – Interleukin-2 (Aldesleukin, Proleukin, IL-2)
March 12, 2018 – 0025 – Automated Ambulatory Blood Pressure Monitoring
March 12, 2018 – 0027 – Vasectomy Procedures
March 12, 2018 – 0028 – Temporomandibular Disorders
March 12, 2018 – 0034 – Aural Rehabilitation
March 12, 2018 – 0038 – Allergy and Hypersensitivity
March 12, 2018 – 0039 – Weight Reduction Medications and Programs
March 12, 2018 – 0050 – Varicose Veins
March 12, 2018 – 0055 – Hematopoietic Colony-Stimulating Factors (CSFs)
March 12, 2018 – 0131 – Clotting Factors
March 12, 2018 – 0140 – Genetic Testing
March 12, 2018 – 0469 – Transcranial Magnetic Stimulation and Cranial Electrical Stimulation
March 12, 2018 – 0666 – Teriparatide (Forteo)

Updated:

February 23, 2018 – 0731 – Convection-Enhanced Intraparenchymal Delivery of Drugs to the Brain
February 23, 2018 – 0733 – Discography
February 23, 2018 – 0741 – Peripheral Ultrafiltration for Acute Decompensated Heart Failure
February 23, 2018 – 0742 – Intermittent Intravenous Insulin Therapy
February 23, 2018 – 0744 – Bronchial Thermoplasty
February 23, 2018 – 0746 – Ultrasound Therapy for Wound Healing
February 23, 2018 – 0750 – Athletic Pubalgia Surgery
February 21, 2018 – 0706 – Anecortave Acetate (Retaane)
February 21, 2018 – 0708 – Metatarsal Phalangeal Joint Replacement
February 21, 2018 – 0709 – Nesiritide (Natrecor)
February 21, 2018 – 0710 – Actigraphy and Accelerometry
February 21, 2018 – 0712 – Ziconotide (Prialt)
February 21, 2018 – 0713 – Artificial Retina
February 21, 2018 – 0714 – Re-breathing of Inert Gas for Measurement of Cardiac Output

Click here to view the Aetna Medical Policy Updates »

Policy Alerts monitors Commercial and Medicare medical policies for changes. While Payers typically update medical policies annually, there are many reasons why a Payer might review or update a policy. When reviews occur out of cycle, they may go unnoticed. Policy Alerts keeps you informed of upcoming and unexpected coverage changes affecting your product. Quickly understanding the changes Payers make can help you adjust reimbursement strategies impacting your business.

Policy Alerts continuously monitors Commercial and Medicare Payer coverage information to keep you up-to-date on Payer decisions in real-time. Whenever changes occur, email notifications containing a summary of those changes are delivered to your inbox. Clients can access detailed coverage reports and medical policies on the interactive Dashboard portal. Save time and keep focused on the important Payer medical policy reviews and coverage decisions affecting your product!

Policy Alerts takes a client-focused hands-on approach and works hard to provide our customers with helpful insights and actionable analytics over raw data. We understand what our clients need and we are dedicated to making sure we provide timely, accurate and always up-to-date reports that can be used to implement and support a successful reimbursement strategy.

Health economic and reimbursement information provided by Policy Alerts is gathered from third-party sources and is subject to change without notice as a result of complex and frequently changing laws, regulations, rules and policies. This information is presented for illustrative purposes only and does not constitute reimbursement or legal advice.

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