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BCBS Arkansas Medical Policy Updates – April 2024
Click here to view the Blue Cross Blue Shield BCBS Arkansas Medical Policy Updates »
April 2024 BCBS Arkansas Medical Policy Updates:
- Ado-Trastuzumab Emtansine (Trastuzumab-DM1) for Treatment of HER-2 Positive Malignancies
- Artificial Vertebral Disc, Cervical Spine
- Avacincaptad pegol (e.g., Izervay)
- Bimatoprost (Durysta™)
- Biomarker Test (Vectra™ DA) for Monitoring Disease Activity in Rheumatoid Arthritis
- Biomarker Testing (Including Liquid Biopsy) for Targeted Treatment and Immunotherapy in Breast Cancer
- Bone Mineral Density Study
- Certified Nurse Midwives
- Certified Nurse Practitioners
- Clinical Nurse Specialist
- Cold Therapy
- Continuous Passive Motion Device In the Home Setting
- Corneal Collagen Cross-linking
- Corneal Topography
- Cryoablation, Radiofrequency Ablation and laser Ablation for Treatment of Chronic Rhinitis
- Digital Imaging Systems for the Detection of Diabetic Retinopathy
- Eculizumab (Soliris)
- Efgartigimod (e.g., Vyvgart)
- Electrical/Electromagnetic Stimulation for the Treatment of Arthritis
- Endothelial Keratoplasty
- Eteplirsen (Exondys-51)
- Genetic Test: Duchenne and Becker Muscular Dystrophy
- Genetic Test: HER2 Testing
- Genetic Test: Hypertrophic Cardiomyopathy, Predisposition
- Genetic Test: Laboratory and Genetic Testing for Use of 5-Fluorouracil in Patients with Cancer
- Genetic Test: Macular Degeneration
- Genetic Test: Melanoma, Hereditary
- Genetic Test: Molecular Markers in Fine Needle Aspirates of the Thyroid
- Genetic Test: Whole Exome Sequencing
- Hippotherapy
- Injection, Clostridial Collagenase for Fibroproliferative Disorders
- Intensity Modulated Radiation Therapy (IMRT), Anus, Anal Canal
- Intensity Modulated Radiation Therapy (IMRT), Prostate
- Intraocular Radiotherapy for Age-Related Macular Degeneration
- Intraoperative Neurophysiologic Monitoring
- Intravitreal Implant, Dexamethasone (Ozurdex)
- Irinotecan Liposomal (e.g., Onivyde)
- Isatuximab-irfc (Sarclisa®)
- Keratoprosthesis
- Levoleucovorin Agents (e.g., Fusilev) and (e.g., Khapzory)
- Low Level Laser Therapy (LLLT)
- Lymphedema Pumps (Pneumatic Compression Devices) for the Treatment of Lymphedema and Venous Ulcers
- Medical Technology Assessment, Non-Covered Services
- Microprocessor-Controlled Prostheses for the Lower Limb
- Myoelectric Prosthesis for the Upper Limb
- Neuromuscular Stimulation, Functional
- Non-Invasive Positive Airway Pressure for Chronic Obstructive Pulmonary Disease
- Novel Lipid Risk Factors in Risk Assessment and Management of Cardiovascular Disease (apolipoprotein B) (apolipoprotein A-1) (HDL subclass) (LDL subclass) (apolipoprotein E) (Lipoprotein A)
- Ophthalmologic Techniques That Evaluate the Posterior Segment for Glaucoma
- Optical Coherence Tomography Anterior Eye Segment Imaging
- Orthoptic Training for the Treatment of Vision and Learning Disabilities
- Patient-actuated End Range Motion Stretching Devices
- Pegloticase (Krystexxa®)
- Peripheral Nerve Injury Repair Using Synthetic Conduits or Processed Nerve Allograft
- PET or PET/CT for Bone Cancer
- PET or PET/CT for non-Hodgkin’s Lymphoma
- PET or PET/CT for Small Cell Lung Cancer
- PET Scans (Positron Emission Tomography)
- PET Scans (Positron Emission Tomography)
- PET Scans (Positron Emission Tomography)
- PET Scans (Positron Emission Tomography)
- Photodynamic Therapy for Ophthalmology
- Physician Assistants
- Pneumatic Compression Device, Intermittent, for Home Use following Hip and Knee Arthroplasty, Hip Fracture Repair
- Preventive Services for Non-Grandfathered (PPACA) Plans: Chlamydial Infection Screening in Women & Adolescents
- Preventive Services For Non-Grandfathered (Ppaca) Plans: Depression Screening, Adults
- Preventive Services for Non-Grandfathered (PPACA) Plans: Human Immunodeficiency Virus (HIV) Counseling & Screening
- Self-Administered Medication
- Sensory Integration Therapy and Auditory Integration Therapy
- Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy Gamma Knife Surgery, Linear Accelerator, Cyberknife, TomoTherapy
- Telemedicine
- Testing for Drugs of Abuse or Drugs at Risk of Abuse including Controlled Substances
- Tezepelumab-ekko (e.g., Tezspire)
- Transplant, Allogeneic Islet Cell or Pancreas for Diabetes Mellitus
- Trastuzumab AND Trastuzumab and Hyaluronidase-oysk
- Ultrasound Accelerated Fracture Healing Device
- Viscocanalostomy and Canaloplasty
- Viscosupplementation for the Treatment of Osteoarthritis of the Hip, Knee, and All Other Joints
- White Blood Cell Growth Factors (Colony Stimulating Factors)
Click here to view the Blue Cross Blue Shield BCBS Arkansas Medical Policy Updates »
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