Click here to view the CareFirst BCBS Blue Cross Blue Shield Medical Policy Updates »…
Anthem BCBS Medical Policy Updates – April 2018
Click here to view the Anthem Blue Cross Blue Shield Medical Policy Updates »
April 2018 Medical Policy Updates:
New:
Revised:
- ANC.00008 Cosmetic and Reconstructive Services of the Head and Neck
- CG-BEH-02 Adaptive Behavioral Treatment for Autism Spectrum Disorder
- CG-BEH-03 Psychiatric Disorder Treatment
- CG-BEH-04 Substance-Related and Addictive Disorder Treatment
- CG-BEH-07 Psychological Testing
- CG-BEH-09 Assertive Community Treatment
- CG-BEH-10 Basic Skills Training/Social Skills Training
- CG-BEH-11 Mental Health Support Services
- CG-BEH-12 Psychosocial Rehabilitation Services
- CG-BEH-13 Targeted Case Management
- CG-DME-06 Pneumatic Compression Devices for Lymphedema
- CG-DME-39 Dynamic Low-Load Prolonged-Duration Stretch Devices
- CG-DRUG-13 Hepatitis B Interferon Antiviral Therapy
- CG-DRUG-27 Clostridial Collagenase Histolyticum Injection
- CG-DRUG-57 Idursulfase (Elaprase®)
- CG-LAB-03 Tropism Testing for HIV Management
- CG-LAB-09 Drug Testing or Screening in the Context of Substance Use Disorder and Chronic Pain
- CG-MED-22 Neuropsychological Testing
- CG-MED-34 Monitored Anesthesia Care for Gastrointestinal Endoscopic Procedures
- CG-MED-41 Moderate to Deep Anesthesia Services for Dental Surgery in the Facility Setting
- CG-MED-42 Maternity Ultrasound in the Outpatient Setting
- CG-MED-47 Fundus Photography
- CG-MED-48 Scrotal Ultrasound
- CG-MED-52 Allergy Immunotherapy (Subcutaneous)
- CG-MED-55 Level of Care: Advanced Radiologic Imaging
- CG-MED-68 Therapeutic Apheresis
- CG-OR-PR-02 Prefabricated and Prophylactic Knee Braces
- CG-OR-PR-03 Custom-made Knee Braces
- CG-OR-PR-06 Spinal Orthoses: Thoracic-Lumbar-Sacral (TLSO), Lumbar-Sacral (LSO), and Lumbar
- CG-REHAB-04 Physical Therapy
- CG-REHAB-05 Occupational Therapy
- CG-REHAB-06 Speech-Language Pathology Services
- CG-REHAB-10 Level of Care: Outpatient Physical Therapy, Occupational Therapy, and Speech-Language Pathology Services
- CG-SURG-09 Temporomandibular Disorders
- CG-SURG-27 Sex Reassignment Surgery
- CG-SURG-31 Treatment of Keloids and Scar Revision
- CG-SURG-49 Endovascular Techniques (Percutaneous or Open Exposure) for Arterial Revascularization of the Lower Extremities
- CG-TRANS-02 Kidney Transplantation
- DME.00009 Vacuum Assisted Wound Therapy in the Outpatient Setting
- DME.00032 Automated External Defibrillators for Home Use
- DRUG.00003 Chelation Therapy
- DRUG.00086 Mecasermin (Increlex®)
- DRUG.00108 Edaravone (Radicava™)
- GENE.00003 Genetic Testing and Biochemical Markers for the Diagnosis of Alzheimer’s Disease
- GENE.00012 Preconceptional or Prenatal Genetic Testing of a Parent or Prospective Parent
- Laboratory and Venipuncture Services
- MED.00004 Technologies for the Evaluation of Skin Lesions (including Dermatoscopy, Epiluminescence Microscopy, Videomicroscopy and Ultrasonography)
- MED.00007 Prolotherapy for Joint and Ligamentous Conditions
- MED.00011 Sensory Stimulation for Brain-Injured Individuals in Coma or Vegetative State
- MED.00059 Idiopathic Environmental Illness (IEI)
- MED.00101 Physiologic Recording of Tremor using Accelerometer(s) and Gyroscope(s)
- OR-PR.00003 Microprocessor Controlled Lower Limb Prosthesis
- RAD.00012 Ultrasound for the Evaluation of Paranasal Sinuses
- RAD.00029 CT Colonography (Virtual Colonoscopy) for Colorectal Cancer
- RAD.00038 Use of 3-D and 4-D Ultrasound in Maternity Care
- RAD.00044 Magnetic Resonance Neurography
- RAD.00052 Positional MRI
- REHAB.00003 Hippotherapy
- SURG.00033 Cardioverter Defibrillators
- SURG.00037 Treatment of Varicose Veins (Lower Extremities)
- SURG.00043 Electrothermal Shrinkage of Joint Capsules, Ligaments, and Tendons
- SURG.00045 Extracorporeal Shock Wave Therapy for Orthopedic Conditions
- SURG.00048 Panniculectomy and Abdominoplasty
- SURG.00053 Unicondylar Interpositional Spacer
- SURG.00056 Transanal Radiofrequency Treatment of Fecal Incontinence
- SURG.00061 Presbyopia and Astigmatism-Correcting Intraocular Lenses
- SURG.00062 Ovarian and Internal Iliac Vein Embolization as a Treatment of Pelvic Congestion Syndrome
- SURG.00066 Percutaneous Neurolysis for Chronic Neck and Back Pain
- SURG.00070 Photocoagulation of Macular Drusen
- SURG.00073 Epiduroscopy
- SURG.00079 Nasal Valve Suspension
- SURG.00096 Surgical and Ablative Treatments for Chronic Headaches
- SURG.00100 Cryoablation for Plantar Fasciitis and Plantar Fibroma
- SURG.00111 Axial Lumbar Interbody Fusion
- SURG.00121 Transcatheter Heart Valve Procedures
- SURG.00132 Devices for Maintaining Sinus Ostial Patency Following Sinus Surgery
- SURG.00150 Leadless Pacemaker
- TRANS.00008 Liver Transplantation
- TRANS.00009 Lung and Lobar Transplantation
- TRANS.00011 Pancreas Transplantation and Pancreas Kidney Transplantation
- TRANS.00013 Small Bowel, Small Bowel/Liver and Multivisceral Transplantation
- TRANS.00014 Mechanical Circulatory Assist Devices (Ventricular Assist Devices, Percutaneous Ventricular Assist Devices and Artificial Hearts)
- TRANS.00026 Heart/Lung Transplantation
- TRANS.00033 Heart Transplantation
Click here to view the Anthem Blue Cross Blue Shield Medical Policy Updates »
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