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Anthem BCBS Medical Policy Updates – March 2019
Click here to view the Anthem Blue Cross Blue Shield Medical Policy Updates »
March 2019 Medical Policy Updates:
- Ablative Techniques as a Treatment for Barrett’s Esophagus
- Activity Therapy for Autism Spectrum Disorders and Rett Syndrome
- Administration of Immunoglobulin as a Treatment of Recurrent Spontaneous Abortion
- Alglucosidase alfa (Lumizyme®)
- Allogeneic, Xenographic, Synthetic and Composite Products for Wound Healing and Soft Tissue Grafting
- Ambulance Services: Air and Water
- Ambulance Services: Ground; Emergent
- Ambulatory or Outpatient Surgery Center Procedures
- Angiographic Evaluation and Endovascular Intervention for Dialysis Access Circuit Dysfunction
- Artificial Anal Sphincter for the Treatment of Severe Fecal Incontinence
- Autologous Cell Therapy for the Treatment of Damaged Myocardium
- Automated Nerve Conduction Testing
- Axial Lumbar Interbody Fusion
- Bariatric Surgery and Other Treatments for Clinically Severe Obesity
- Belimumab (Benlysta®)
- Blepharoplasty, Blepharoptosis Repair, and Brow Lift
- Brentuximab Vedotin (Adcetris®)
- Central (Hip or Spine) Bone Density Measurement and Screening for Vertebral Fractures Using Dual Energy X-Ray Absorptiometry
- Cervical and Thoracic Discography
- Cervical Cancer Screening and Human Papillomavirus Testing
- CG-THIntravascular Brachytherapy (Coronary and Non-Coronary)
- Computer Analysis and Probability Assessment of Electrocardiographic-Derived Data
- Convection Enhanced Delivery of Therapeutic Agents to the Brain
- Cosmetic and Reconstructive Services of the Trunk and Groin
- Cranial Remodeling Bands and Helmets (Cranial Orthotics)
- Cryoablation for Plantar Fasciitis and Plantar Fibroma
- Custom-made Knee Braces
- Daratumumab (DARZALEX™)
- Durable Medical Equipment
- Endothelial Keratoplasty
- Epiduroscopy
- Eteplirsen (Exondys 51™ )
- Extracorporeal Carbon Dioxide Removal
- Fetal Surgery for Prenatally Diagnosed Malformations
- Fractional Exhaled Nitric Oxide and Exhaled Breath Condensate Measurements for Respiratory Disorders
- Gastric Electrical Stimulation
- Gene Expression Profiling for Colorectal Cancer
- Genetic Testing for DMD Mutations (Duchenne or Becker Muscular Dystrophy)
- Genetic Testing for Frontotemporal Dementia (FTD)
- Genetic Testing for Hereditary Pancreatitis
- Genetic Testing for Macular Degeneration
- Genotype Testing for Genetic Polymorphisms to Determine Drug-Metabolizer Status
- Growth Factors, Silver-based Products and Autologous Tissues for Wound Treatment and Soft Tissue Grafting
- Growth Hormone
- Hepatic Activation Therapy
- High Frequency Chest Compression Devices for Airway Clearance
- Home Health
- Hyaluronan Injections in the Knee
- Hyperbaric Oxygen Therapy (Systemic/Topical)
- Immune Cell Function Assay
- Inpatient Admission for Radiation Therapy for Cervical or Thyroid Cancer
- Intensive In-home Behavioral Health Services
- Laser Treatment for Onychomycosis
- Lower Limb Prosthesis
- Lumbar Discography
- Maternity Ultrasound in the Outpatient Setting
- Monoclonal Antibodies for the Treatment of Eosinophilic Asthma
- Multiplex Autoantigen Microarray Testing for Systemic Lupus Erythematosus
- Myoelectric Upper Extremity Prosthetic Devices
- Nasal Valve Suspension
- Natalizumab (Tysabri®)
- Near-Infrared Spectroscopy Brain Screening for Hematoma Detection
- Neural Therapy
- Occipital Nerve Stimulation
- Ocriplasmin (Jetrea®) Intravitreal Injection Treatment
- Off-Label Drug and Approved Orphan Drug Use
- Orthopedic Footwear
- Outpatient Cardiac Hemodynamic Monitoring Using a Wireless Sensor for Heart Failure Management
- Paraesophageal Hernia Repair
- Parenteral Antibiotics for the Treatment of Lyme Disease
- Prolotherapy for Joint and Ligamentous Conditions
- Proprotein Convertase Subtilisin Kexin 9 (PCSK9) Inhibitors
- Prostacyclin Infusion Therapy and Inhalation Therapy for Treatment of Pulmonary Arterial Hypertension
- Prothrombin G20210A (Factor II) Mutation Testing
- Reduction Mammaplasty
- Refractive Surgery
- REHippotherapy
- Rhinophototherapy
- Sarilumab (Kevzara®)
- Selected Sleep Testing Services
- Self-Operated Spinal Unloading Devices
- SensiGene® Fetal RhD Genotyping Test
- Serological Antibody Testing For Helicobacter Pylori
- Sex Reassignment Surgery
- Skin Nerve Fiber Density Testing
- Strapping
- Surgical Strabismus Correction
- Tesamorelin (Egrifta®)
- Testosterone Injectable
- Therapeutic Shoes, Inserts or Modifications for Individuals with Diabetes
- THER-Intraocular Epiretinal Brachytherapy
- THER-Neutron Beam Radiotherapy
- Transanal Endoscopic Microsurgical (TEM) Excision of Rectal Lesions
- Transendoscopic Therapy for Gastroesophageal Reflux Disease and Dysphagia
- Transmyocardial/Perventricular Device Closure of Ventricular Septal Defects
- TRAutologous and Allogeneic Pancreatic Islet Cell Transplantation
- TRCell Transplantation (Mesencephalic, Adrenal-Brain and Fetal Xenograft)
- Treatment of Varicose Veins (Lower Extremities)
- TRHeart Transplantation
- TRHeart/Lung Transplantation
- TRLiver Transplantation
- TRLung and Lobar Transplantation
- TRMesenchymal Stem Cell Therapy For Orthopedic Indications
- Tropism Testing for HIV Management
- Ultrasound for the Evaluation of Paranasal Sinuses
- Vagus Nerve Stimulation
- Venous Angioplasty with or without Stent Placement
- Vertebral Body Stapling for the Treatment of Scoliosis in Children and Adolescents
- 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
- Ziconotide Intrathecal Infusion (Prialt®) for Severe Chronic Pain
Click here to view the Anthem Blue Cross Blue Shield Medical Policy Updates »
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