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BCBS Arkansas Medical Policy Updates – May 2018
Click here to view the Blue Cross Blue Shield Arkansas Medical Policy Updates »
May 2018 Medical Policy Updates:
- Ablation Therapy for Atrial Arrhythmias other than Atrial Fibrillation
- Adoptive Immunotherapy
- Alcohol Injections for Treatment of Peripheral Neuromas
- Angioplasty/Stenting, Percutaneous, Carotid Artery
- Anti-PD-1 (programmed death receptor-1)Therapy (Pembrolizumab)(Nivolumab)
- Auditory Evoked Potential
- Autism Spectrum Disorder, Early Behavioral Intervention
- Autism Spectrum Disorder, Interventions other than Early Behavioral Intervention
- Biofeedback as a Treatment of Chronic Pain
- Biofeedback as a Treatment of Headache
- Biomarker Test (Vectra™ DA) for Monitoring Disease Activity in Rheumatoid Arthritis
- Biventricular Pacemakers for the Treatment of Congestive Heart Failure
- Blepharoplasty/Blepharoptosis
- Bone Mineral Density Study
- Cardiac Rehabilitation
- Chemical Labyrinthectomy in the Treatment of Meniere’s Syndrome
- Chemodenervation, Botulinum Toxins
- Chemosensitivity and Chemoresistance Assays, In-Vitro (ChemoFX, Oncotech Extreme Drug Resistance Assay)
- Chromoendoscopy as an Adjunct to Colonoscopy
- Computed Tomography (CT) Perfusion Imaging
- Corticosteroid Infusion of Middle Ear for Sudden Hearing Loss
- Corticosteroid Infusion of Middle Ear for Sudden Hearing Loss
- Daclatasvir (Daklinza)
- Denosumab (XGEVA™ and Prolia™)
- Direct Acting Antiviral Medications for Treatment of Chronic Hepatitis C
- Electrical Stimulation, Vagus Nerve Stimulation for the Treatment of Depression
- Electrical Stimulation, Vagus Nerve Stimulation for the Treatment of Essential Tremors
- Electrical Stimulation, Vagus Nerve Stimulation for the Treatment of Fibromyalgia
- Electrical Stimulation, Vagus Nerve Stimulation for the Treatment of Headaches
- Electrical Stimulation, Vagus Nerve Stimulation for the Treatment of Heart Failure
- Electrical Stimulation, Vagus Nerve Stimulation for the Treatment of Obesity
- Electrical Stimulation, Vagus Nerve Stimulation for the Treatment of Seizures
- Elotuzumab (Empliciti™)
- Endovascular Procedures for Intracranial Arterial Disease and Extracranial Vertebral Artery Disease
- Endovascular Procedures for Intracranial Arterial Disease and Extracranial Vertebral Artery Disease
- Epiduroscopy
- Focal Treatments for Prostate Cancer
- Gastric Neurostimulation for Treatment of Gastric and/or Small Bowel Paresis
- Genetic Test: Fanconi Anemia
- Genetic Test: HER2 Testing
- Glucose Monitoring, Continuous
- Heartsbreath Test for Heart Transplant Rejection Detection
- Hereditary Angioedema (HAE), Prophylaxis and Acute Treatment
- High Dose Chemotheraphy with Allogenic or Autologous Stem Cell and/or Progenitor Cell Support
- Home Uterine Activity Monitor
- Home Uterine Activity Monitor
- Hyperhidrosis Treatment
- Hyperhidrosis Treatment
- Insulin Infusion Pumps, External
- Intensity Modulated Radiation Therapy (IMRT), Lung
- Interspinous and Interlaminar Stabilization/Distraction Devices (Spacers)
- Intravenous Lidocaine or Ketamine for the Outpatient Management of Chronic Pain
- Ipilimumab (Yervoy™)
- Lab Test: Identification of Microorganisms Using Nucleic Acid Probes
- Mastectomy, Male Gynecomastia
- Minimally Invasive Image-Guided Lumbar Decompression for Spinal Stenosis
- Mohs’ Micrographic Surgery
- Nab-Paclitaxel (Abraxane™)
- Needle Arthroscopy
- PCSK9 Inhibitors (Evolocumab) (Alirocumab)
- Pharmacy: Lutetium Lu 177 Dotatate (Lutathera®)
- Pilot Policy: Total Hip Arthroplasty (THA)
- Preventive Services for Non-Grandfathered (PPACA) Plans: Chlamydial Infection Screening in Women & Adolescents
- PREVENTIVE SERVICES FOR NON-GRANDFATHERED (PPACA) PLANS: GONORRHEA SCREENING IN WOMEN & ADOLESCENTS
- Preventive Services For Non-Grandfathered (Ppaca) Plans: Obesity In Children; Screening And Counseling
- Preventive Services for Non-Grandfathered (PPACA) Plans: Obesity Screening in Adults
- Preventive Services for Non-Grandfathered (PPACA) Plans: Overview
- Preventive Services for Non-Grandfathered (PPACA) Plans: Well-Woman Visits for Adult Women
- Prostate, Saturation Biopsy
- Prostatic Urethral Lift (UroLift System)
- Proteomics, Evaluation of Ovarian (Adnexal) Masses (e.g., OVA1, ROMA)
- Proteomics, Predict Response to Chemotherapy (VeriStrat®)
- Pulmonary Arterial Hypertension, Pharmacological Treatment with Prostacyclin Analogues, Endothelin Receptors Antagonists, or Phosphodiesterase Inhibitors
- Pulmonary Rehabilitation
- Radiofrequency Ablation, Osteoid Osteoma
- Ramucirumab (Cyramza™)
- Ramucirumab (Cyramza™)
- Rituximab (Rituxan), Off-label Use
- Sphenopalatine Ganglion Block for Headache
- Stem Cell Growth Factor, Romiplostim (Nplate)
- Telemedicine
- Transanal Endoscopic Microsurgery (TEMS/TAMIS)
- Transplant, Allogeneic Islet Cell or Pancreas for Diabetes Mellitus
- Treatment of Varicose Veins/Venous Insufficiency
- Ultrasound in Maternity Care
- Vagal Nerve Blocking Therapy for the Treatment of Obesity
- Vertebroplasty, Percutaneous
- Whole Body Computed Tomography Scan as a Screening Test
Click here to view the Blue Cross Blue Shield Arkansas Medical Policy Updates »
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