BCBS Arkansas Medical Policy Updates – September 2018

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

September 2018 BCBS Arkansas Medical Policy Updates:

• Autism Spectrum Disorder, Early Behavioral Intervention
• Autism Spectrum Disorder, Interventions other than Early Behavioral Intervention
• Biochemical Marker’s, Alzheimer’s Disease
• Blepharoplasty/Blepharoptosis
• Closure Devices for Atrial or Ventricular Septal Defects (ASD, VSD) or Patent Foramen Ovale (PFO), Percutaneous
• Cochlear Implant
• Cognitive Rehabilitation
• Digital Motion X-ray (Cineradiography/Videoradiography) for Musculoskeletal Conditions
• Dopamine Transporter Imaging with Single Photon Emission Computed Tomography (DAT-SPECT)
• Droxidopa (Northera™)
• Dupilumab
• EKG, Signal Averaged
• Electrical Stimulation, Baroreflex Stimulation for the Treatment of Hypertension
• Endothelial Keratoplasty
• Functional Intracellular Analysis
• Genetic Test: Alzheimer’s Disease
• Genetic Test: Melanoma, Hereditary
• HDC & Allogeneic or Autologous Hematopoietic Stem Cell Support-Malignant Astrocytomas & Gliomas
• HDC & Autologous Stem &/or Progenitor Cell Support-Acute Myelogenous Leukemia
• Hereditary Angioedema (HAE), Prophylaxis and Acute Treatment
• Hip Resurfacing
• Implantable Telescope for the Treatment of Age-Related Macular Degeneration
• Intraoperative Neurophysiologic Monitoring
• Nesiritide (Natrecor) for Use in the Outpatient Setting
• Osteochondral Allograft and/or Mosaicplasty for Osteochondral Defects of the Knee
• Preventive Services for Non-Grandfathered (PPACA) Plans: Aspirin for the Prevention of Morbidity and Morality from Preeclampsia in High Risk Pregnant Women
• Prostatic Stent, Temporary
• Radiofrequency Ablation of the Renal Sympathetic Nerves as a Treatment for Resistant Hypertension
• Respiratory Syncytial Virus, Immune Prophylaxis with Palivizumab (Synagis)
• Scleral Contact Lens, Gas Permeable
• Spinal Manipulation Under General Anesthesia
• Testosterone Replacement Therapy
• Tocolysis, Acute and Maintenance Therapy

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

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