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Anthem BCBS Medical Policy Updates – April 2024
Click here to view the Anthem BCBS Blue Cross Blue Shield Medical Policy Updates »
April 2024 Anthem BCBS Medical Policy Updates:
- Acupuncture
- Adaptive Behavioral Treatment
- Adenoidectomy
- Allergy Immunotherapy (Subcutaneous)
- Allogeneic Xenographic Synthetic Bioengineered and Composite Products for Wound Healing and Soft Tissue Grafting
- Artificial Retinal Devices
- Automated External Defibrillators for Home Use
- Automated Insulin Delivery Systems
- Autonomic Testing
- Balloon Dilation of the Eustachian Tubes
- Bariatric Surgery and Other Treatments for Clinically Severe Obesity
- Biofeedback and Neurofeedback
- Biomechanical Footwear Therapy
- Bone Mineral Density Testing Measurement
- Cancer Antigen 125 Testing
- Cardiac Contractility Modulation Therapy
- Cardiac Electrophysiological Studies (EPS) and Catheter Ablation
- Carotid Sinus Baroreceptor Stimulation Devices
- Catheter-based Embolization Procedures for Malignant Lesions Outside the Liver
- Cell Transplantation (Mesencephalic Adrenal-Brain and Fetal Xenograft)
- Continuous Glucose Monitoring Devices and External Insulin Infusion Pumps
- Continuous Monitoring of Intraocular Pressure
- Cosmetic and Reconstructive Services of the Head and Neck
- Cranial Remodeling Bands and Helmets (Cranial Orthotics)
- Detection of Circulating Tumor Cells
- Diagnostic Infertility Surgery
- Drug Testing or Screening in the Context of Substance Use Disorder and Chronic Pain
- Drug-Eluting Devices for Maintaining Sinus Ostial Patency
- Electroencephalography and Video Electroencephalographic Monitoring
- Electrophysiology-Guided Noninvasive Stereotactic Cardiac Radioablation
- Electrothermal Shrinkage of Joint Capsules Ligaments and Tendons
- Endovascular Endoluminal Repair of Aortic Aneurysms Aortoiliac Disease Aortic Dissection and Aortic Transection
- External Ambulatory Cardiac Monitors
- External Insulin Pumps
- Fetal Surgery for Prenatally Diagnosed Malformations
- Focal Laser Ablation for the Treatment of Prostate Cancer
- Functional Electrical Stimulation (FES) Threshold Electrical Stimulation (TES)
- Fundus Photography
- Gene Therapy for Duchenne Muscular Dystrophy
- Gene Therapy for Ocular Conditions
- Heart Transplantation
- Hematopoietic Stem Cell Transplantation for Hodgkin Disease and non-Hodgkin Lymphoma
- Human Chorionic Gonadotropin Testing
- Idiopathic Environmental Illness (IEI)
- Implantable Left Atrial Hemodynamic Monitor
- Implantable Peripheral Nerve Stimulation Devices as a Treatment for Pain
- Implantable Shock Absorber for Treatment of Knee Osteoarthritis
- Implanted Artificial Iris Devices
- Implanted Port Delivery Systems to Treat Ocular Disease
- In Vitro Chemosensitivity Assays and In Vitro Chemoresistance Assays
- Intensive Programs for Pediatric Feeding Disorders
- Intervertebral Stabilization Devices
- Intracardiac Ischemia Monitoring
- Intracytoplasmic Sperm Injection (ICSI)
- Intraocular Anterior Segment Aqueous Drainage Devices (without extraocular reservoir)
- Intraoperative Assessment of Surgical Margins During Breast-Conserving Surgery with Radiofrequency Spectroscopy or Optical Coherence Tomography
- Intraoperative Neurophysiological Monitoring
- Irreversible Electroporation
- Kidney Transplantation
- Laser Trabeculoplasty and Laser Peripheral Iridotomy
- Locoregional and Surgical Techniques for Treating Primary and Metastatic Liver Malignancies
- Lysis of Epidural Adhesions
- Machine Learning Derived Probability Score for Rapid Kidney Function Decline
- Magnetic Resonance Neurography
- Mastectomy for Gynecomastia
- Mechanical Circulatory Assist Devices (Ventricular Assist Devices Percutaneous Ventricular Assist Devices and Artificial Hearts)
- Microsurgical Procedures for the Prevention or Treatment of Lymphedema
- Minimally Invasive Ablative Procedures for Epilepsy
- Minimally Invasive Treatment of the Posterior Nasal Nerve to Treat Rhinitis
- Mobile Device-Based Health Management Applications
- Mohs Micrographic Surgery
- Molecular Gastrointestinal Pathogen Panel (GIPP) Testing for Infectious Diarrhea in the Outpatient Setting
- Monitored Anesthesia Care for Gastrointestinal Endoscopic Procedures
- MRI Guided High Intensity Focused Ultrasound Ablation for Non-Oncologic Indications
- Myringotomy and Tympanostomy Tube Insertion
- Neonatal Levels of Care
- Noninvasive Electrical Bone Growth Stimulation of the Appendicular Skeleton
- Non-invasive Measurement of Advanced Glycation End Products (AGEs) in the Skin
- Non-Invasive Measurement of Left Ventricular End Diastolic Pressure in the Outpatient Setting
- Optical Detection for Screening and Identification of Cervical Cancer
- Osseointegrated Limb Prostheses
- Outpatient Alpha-Fetoprotein Testing
- Pancreas Transplantation and Pancreas Kidney Transplantation
- Panniculectomy and Abdominoplasty
- Percutaneous Ultrasonic Ablation of Soft Tissue
- Percutaneous Vertebral Disc and Vertebral Endplate Procedures
- Peripheral Nerve Blocks for Treatment of Neuropathic Pain
- Physiologic Recording of Tremor using Accelerometer(s) and Gyroscope(s)
- Pooled Antibiotic Sensitivity Testing
- Portable Normothermic Organ Perfusion Systems
- Powered Wheeled Mobility Devices
- Prefabricated and Prophylactic Knee Braces
- Prefabricated External Infant Ear Molding Systems
- Preimplantation Genetic Diagnosis Testing
- Presbyopia and Astigmatism-Correcting Intraocular Lenses
- Prostate Saturation Biopsy
- Prostate Specific Antigen Testing
- Protein Biomarkers for the Screening Detection and Management of Prostate Cancer
- Quantitative Ultrasound for Tissue Characterization
- Radiofrequency Ablation of the Renal Sympathetic Nerves
- Respiratory Viral Panel Testing in the Outpatient Setting
- Retinal Telescreening Systems
- Saliva-based Testing to Determine Drug-Metabolizer Status
- Scrotal Ultrasound
- Selected Tests for the Evaluation and Management of Infertility
- Self-Expanding Absorptive Sinus Ostial Dilation
- Sensory Stimulation for Brain-Injured Individuals in Coma or Vegetative State
- Septoplasty
- Serum Iron Testing
- Site of Care Outpatient Physical Therapy Occupational Therapy and Speech-Language Pathology Services
- Spectral Analysis of Prostate Tissue by Fluorescence Spectroscopy
- Spinal Orthoses Thoracic-Lumbar-Sacral (TLSO) Lumbar-Sacral (LSO) and Lumbar
- Stereotactic Radiofrequency Pallidotomy
- Surgical and Ablative Treatments for Chronic Headaches
- Technologies for the Evaluation of Skin Lesions (including Dermatoscopy Epiluminescence Microscopy Videomicroscopy and Ultrasonography)
- Testing for Biochemical Markers for Alzheimers Disease
- Testing for Oral and Esophageal Cancer
- Therapeutic Apheresis
- Therapeutic Shoes Inserts or Modifications for Individuals with Diabetes
- Thymus Tissue Transplantation
- Thyroid Testing
- Tonsillectomy for Children with or without Adenoidectomy
- Topographic Genotyping
- Transanal Radiofrequency Treatment of Fecal Incontinence
- Transrectal Ultrasonography
- Treatment of Varicose Veins (Lower Extremities)
- Ultrafiltration in Decompensated Heart Failure
- Umbilical Cord Blood Progenitor Cell Collection Storage and Transplantation
- Use of 3-D 4-D or 5-D Ultrasound in Maternity Care
- Uterine Transplantation
- Vagus Nerve Stimulation
- Venous Angioplasty with or without Stent Placement or Venous Stenting Alone
- Vestibular Function Testing
- Viscocanalostomy and Canaloplasty
- Visual Somatosensory and Motor Evoked Potentials
- Wearable Cardioverter Defibrillators
- Wireless Cardiac Resynchronization Therapy for Left Ventricular Pacing
Click here to view the Anthem BCBS Blue Cross Blue Shield Medical Policy Updates »
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