Anthem BCBS Medical Policy Updates – December 2018

Click here to view the Anthem Blue Cross Blue Shield Medical Policy Updates »

 December 2018 Medical Policy Updates:

• CG-ADMIN-02 Clinically Equivalent Cost Effective Services – Targeted Immune Modulators
• CG-BEH-02 Adaptive Behavioral Treatment for Autism Spectrum Disorder
• CG-DME-18 Home Oxygen Therapy
• CG-DME-19 Therapeutic Shoes, Inserts or Modifications for Individuals with Diabetes
• CG-DME-26 Back-Up Ventilators in the Home Setting
• CG-DME-43 High Frequency Chest Compression Devices for Airway Clearance
• CG-DRUG-29 Hyaluronan Injections in the Knee
• CG-DRUG-61 Gonadotropin Releasing Hormone Analogs for the Treatment of Non-Oncologic Indications
• CG-DRUG-68 Bevacizumab (Avastin®) for Non-Ophthalmologic Indications
• CG-DRUG-90 Intravitreal Treatment for Retinal Vascular Conditions
• CG-DRUG-94 Rituximab (Rituxan®) for Non-Oncologic Indications
• CG-LAB-09 Drug Testing or Screening in the Context of Substance Use Disorder and Chronic Pain
• CG-MED-08 Home Enteral Nutrition
• CG-MED-74 Implantable Ambulatory Event Monitors and Mobile Cardiac Telemetry
• DME.00037 Cooling Devices and Combined Cooling/Heating Devices
• DRUG.00080 Monoclonal Antibodies for the Treatment of Eosinophilic Asthma
• DRUG.00096 Ibalizumab-uiyk (TrogarzoTM)
• DRUG.00108 Edaravone (Radicava™)
• DRUG.00109 Durvalumab (IMFINZI™)
• GENE.00009 Gene-Based Tests for Screening, Detection and Management of Prostate Cancer
• GENE.00011 Gene Expression Profiling for Managing Breast Cancer Treatment
• GENE.00012 Preconceptional or Prenatal Genetic Testing of a Parent or Prospective Parent
• GENE.00023 Gene Expression Profiling of Melanomas
• GENE.00025 Molecular Profiling for the Evaluation of Malignant Tumors
• GENE.00029 Genetic Testing for Breast and/or Ovarian Cancer Syndrome
• GENE.00043 Genetic Testing of an Individual’s Genome for Inherited Diseases
• LAB.00011 Analysis of Proteomic Patterns
• LAB.00019 Serum Markers for Liver Fibrosis in the Evaluation and Monitoring of Chronic Liver Disease
• MED.00109 Corneal Collagen Cross-Linking
• MED.00111 Intracardiac Ischemia Monitoring
• MED.00115 Outpatient Cardiac Hemodynamic Monitoring Using a Wireless Sensor for Heart Failure Management
• MED.00120 Voretigene neparvovec-rzyl (Luxturna™)
• MED.00124 Tisagenlecleucel (Kymriah™)
• OR-PR.00005 Upper Extremity Myoelectric Orthoses
• SURG.00007 Vagus Nerve Stimulation
• SURG.00011 Allogeneic, Xenographic, Synthetic and Composite Products for Wound Healing and Soft Tissue Grafting
• SURG.00028 Surgical and Minimally Invasive Treatments for Benign Prostatic Hyperplasia (BPH) and Other Genitourinary Conditions
• SURG.00102 Artificial Anal Sphincter for the Treatment of Severe Fecal Incontinence
• SURG.00104 Extraosseous Subtalar Joint Implantation and Subtalar Arthroereisis
• SURG.00111 Axial Lumbar Interbody Fusion
• SURG.00113 Artificial Retinal Devices
• SURG.00132 Devices for Maintaining Sinus Ostial Patency Following Sinus Surgery
• SURG.00150 Leadless Pacemaker
• THER-RAD.00009 Intraocular Epiretinal Brachytherapy

Click here to view the Anthem Blue Cross Blue Shield Medical Policy Updates »

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