Anthem BCBS Medical Policy Updates – January 2023

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

January 2023 Anthem BCBS Medical Policy Updates:

• Adaptive Behavioral Treatment
• Air Conduction Hearing Aids
• Ambulance Services: Air and Water
• Ambulance Services: Ground; Emergent
• Ambulatory or Outpatient Surgery Center Procedures
• Anesthesia Services and Moderate (“Conscious”) Sedation
• Annulus Closure After Discectomy
• Artificial Anal Sphincter for the Treatment of Severe Fecal Incontinence
• Autologous and Allogeneic Pancreatic Islet Cell Transplantation
• Automated Nerve Conduction Testing
• Blepharoplasty, Blepharoptosis Repair, and Brow Lift
• Breast Ductal Examination and Fluid Cytology Analysis
• Breast Procedures; including Reconstructive Surgery, Implants and Other Breast Procedures
• Carpal Tunnel Decompression Surgery
• Cervical and Thoracic Discography
• Cervical Cancer Screening Using Cytology and Human Papillomavirus Testing
• Chronic Wound Care in the Home or Outpatient Setting
• Convection Enhanced Delivery of Therapeutic Agents to the Brain
• Corneal Collagen Cross-Linking
• Cryoablation for Plantar Fasciitis and Plantar Fibroma
• Custodial Care
• Custom-made Knee Braces
• Deep Brain, Cortical, and Cerebellar Stimulation
• Diaphragmatic/Phrenic Nerve Stimulation and Diaphragm Pacing Systems
• Drug Testing or Screening in the Context of Substance Use Disorder and Chronic Pain
• Electronic Home Visual Field Monitoring
• Endothelial Keratoplasty
• Enhanced External Counterpulsation in the Outpatient Setting
• Epiduroscopy
• External Infusion Pumps for the Administration of Drugs in the Home or Residential Care Settings
• Extracorporeal Carbon Dioxide Removal
• Gastric Electrical Stimulation
• Gender Affirming Surgery
• Gene Expression Profiling for Colorectal Cancer
• Gene Expression Profiling for Risk Stratification of Inflammatory Bowel Disease (IBD) Severity
• Gene Therapy for Spinal Muscular Atrophy
• Genetic Testing for Lynch Syndrome, Familial Adenomatous Polyposis (FAP), Attenuated FAP and MYH-associated Polyposis
• Genetic Testing for TP53 Mutations
• Genicular Nerve Blocks and Ablation for Chronic Knee Pain
• Heart Transplantation
• Heart/Lung Transplantation
• Hematopoietic Stem Cell Transplantation for Diabetes Mellitus
• Hematopoietic Stem Cell Transplantation for Genetic Diseases and Aplastic Anemias
• Hematopoietic Stem Cell Transplantation for Germ Cell Tumors
• Hematopoietic Stem Cell Transplantation for Multiple Myeloma and Other Plasma Cell Dyscrasias
• Hematopoietic Stem Cell Transplantation for Pediatric Solid Tumors
• Hematopoietic Stem Cell Transplantation for Select Leukemias and Myelodysplastic Syndrome
• Hepatic Activation Therapy
• High Frequency Chest Compression Devices for Airway Clearance
• Hippotherapy
• Immune Cell Function Assay
• Implantable Peripheral Nerve Stimulation Devices as a Treatment for Pain
• Implantation of Occipital, Supraorbital or Trigeminal Nerve Stimulation Devices (and Related Procedures)
• Inpatient Admission for Radiation Therapy for Cervical or Thyroid Cancer
• Inpatient Interfacility Transfers
• Insulin Potentiation Therapy
• Intensive In-home Behavioral Health Services
• Intraocular Telescope
• Keratoprosthesis
• Laboratory Evaluation of Vitamin B12
• Laboratory Testing as an Aid in the Diagnosis of Heart Transplant Rejection
• Laser Treatment for Onychomycosis
• Liver Transplantation
• Lumbar Discography
• Lung and Lobar Transplantation
• Maternity Ultrasound in the Outpatient Setting
• Mechanical Embolectomy for Treatment of Acute Stroke
• MED.00140 Gene Therapy for Beta Thalassemia
• Medical Policy Formation
• Minimally Invasive Ablative Procedures for Epilepsy
• MRI of the Breast
• Myoelectric Upper Extremity Prosthetic Devices
• Navigational Bronchoscopy
• Near-Infrared Spectroscopy Scanning for Brain Hematoma Screening
• Neural Therapy
• Neutron Beam Radiotherapy
• Noninvasive Electrical Bone Growth Stimulation of the Appendicular Skeleton
• Non-Obstetric Gynecologic Duplex Ultrasonography of the Abdomen and Pelvis in the Outpatient Setting
• Outpatient Cardiac Hemodynamic Monitoring Using a Wireless Sensor for Heart Failure Management
• Outpatient Cardiac Rehabilitation
• Paraesophageal Hernia Repair
• Pneumatic Compression Devices for Lymphedema
• Posterior Segment Optical Coherence Tomography
• Proteogenomic Testinfor the Evaluation of Malignancies
• Prothrombin Time Self-Monitoring Devices
• Radiostereometric Analysis (RSA)
• Red Blood Cell Folic Acid Testing
• Refractive Surgery
• Respiratory Viral Panel Testing in the Outpatient Setting
• Rhinophototherapy
• Scoliosis Surgery
• Selected Sleep Testing Services
• Serologic Testing for Biomarkers of Irritable Bowel Syndrome (IBS)
• Serological Antibody Testing For Helicobacter Pylori
• Serum Amylase Testing
• Silver-based Products for Wound and Soft Tissue Applications
• Skin Nerve Fiber Density Testing
• Small Bowel, Small Bowel/Liver and Multivisceral Transplantation
• Strapping
• Surface Electromyography Devices for Seizure Monitoring
• Surgical Strabismus Correction
• Systems Pathology Testing for Prostate Cancer
• Transanal Endoscopic Microsurgical (TEM) Excision of Rectal Lesions
• Transmyocardial Revascularization
• Transmyocardial/Perventricular Device Closure of Ventricular Septal Defects
• Treatments for Urinary Incontinence
• Tropism Testing for HIV Management
• Ultrasound Ablation for Oncologic Indications
• Upper Gastrointestinal Endoscopy in Adults
• Vein Embolization as a Treatment for Pelvic Congestion Syndrome and Varicocele
• Wearable Devices for Stress Relief and Management
• Wheeled Mobility Devices: Manual Wheelchairs – Standard, Heavy Duty and Lightweight
• Wheeled Mobility Devices: Manual Wheelchairs-Ultra Lightweight
• Wheeled Mobility Devices: Wheelchair Accessories
• Wheeled Mobility Devices: Wheelchairs-Powered, Motorized, With or Without Power Seating Systems and Power Operated Vehicles (POVs)
• Wilderness Programs

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

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