AvMed Medical Policy Updates – January 2023

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January 2023 AvMed Medical Policy Updates:

• Abdominoplasty & Panniculectomy
• Allergy and Immunology Testing and Treatment
• Alopecia Areata Treatment
• Alternative Methods for Breast Cancer
• Attention Deficit/Hyperactivity Disorder (ADHD) Treatment
• Autism/Autism Spectrum Disorder, Diagnosis, & Treatment Guidelines
• Autologous Chondrocyte Implantation
• Benign Lesion Removal Coverage Guidelines
• Blepharoplasty & Brow Ptosis Repair
• Bone Growth Stimulator Coverage Guidelines
• Brexanolone Treatment for Post-Partum Depression
• Chelation Therapy
• ClariFix
• Cochlear Implant, Bone Anchored Hearing Aids, and Auditory Brainstem Implant
• Cold Therapy Durable Medical Equipment
• Collagenase (Xiaflex) Treatment
• Continuous Glucose
• Continuous Subcutaneous Insulin Infusion Pump
• Cryoablation for Treatment of Malignant and/or Benign Breast Tumors
• Cranial Sacral Therapy Guidelines
• Cosmetic Surgery & Procedures Coverage
• Dental Appliances for Sleep Apnea
• Drug Testing During Substance Abuse Treatment
• Enteral Nutrition
• Gender Reassignment Surgery
• Genetic Testing Guidelines
• Eye Surgery & Procedures
• Gastric Surgery for Clinically Severe (Morbid) Obesity
• High Frequency Chest Wall Oscillation
• Hyperbaric Oxygen Therapy for Wound Care Treatment
• Iatrogenic Infertility: Preservation of Fertility
• Implantable Hormone Pellets
• Guidelines for Implantable Infusion Pumps, Spinal Cord Stimulators, and Neuromuscular Stimulators
• In Utero Fetal Surgery
• Inspire Upper Airway Stimulation (UAS) System
• Myo-electric/Microprocessor Controlled Upper & Lower Prostheses
• Interventional Pain Management
• Negative Pressure Wound Therapy
• Nitric Oxide and ECMO Treatment
• Non-Invasive Fetal Testing (NIFT)
• Optune System Therapy
• Neuropsychological Testing Coverage Guidelines
• Oral Pressure Therapy for Treatment of Obstructive Sleep Apnea
• Oxygen Therapy Coverage Guidelines for Non-Medicare Advantage Members
• Pectus Deformity Repair
• Prophylactic Mastectomy
• Phototherapy and Photochemotherapy Treatment (Ultraviolet A [PUVA] and B [UBV])
• Proton Beam Radiation Therapy
• PT or INP Monitoring at Home
• Reduction Mammoplasty
• Robotic Assisted Surgery
• Skin Substitutes for Wound Care
• Sleep Study Coverage Guidelines Including Split-study Parameters and CPAP/BiPAP
• Solesta
• Speech Generating Devices (SGD)
• Spinal Unloading Devices
• Telemedicine Communication
• Surgical Treatment for Gastro-Esophageal Reflux (G-E Reflux)
• Temporomandibular Joint Orthotics
• Urolift System (Neo Tract Inc.)
• Total Ankle Arthroplasty
• Ventricular Assist Devices (VAD)
• Vertebroplasty/Kyphoplasty
• Wheelchair Coverage Guidelines

Click here to view the AvMed Medical Policy Updates »

Policy Alerts monitors Commercial and Medicare medical policies for changes. While medical Insurance carriers typically update medical policies annually, there are many reasons why they might review or update a policy. When reviews occur out of cycle they often go unnoticed. Policy Alerts keeps you updated when Payers make coverage changes to medical policies affecting your business.

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Health economic and reimbursement information provided by Policy Alerts is gathered from third-party sources and is subject to change without notice as a result of complex and frequently changing laws, regulations, rules and policies. All product and company names are trademarks™ or registered® trademarks of their respective holders. Use of them does not imply any affiliation with or endorsement by them. This information is presented for illustrative purposes only and does not constitute reimbursement or legal advice.