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BCBS Excellus Medical Policy Updates – April 2018
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April 2018 Medical Policy updates:
- Behavioral Health Treatment of Family and Couples (Couples Therapy, Family Therapy) (PDF) Policy 3.01.05 (posted 4/18/18)
- Ketamine for the Treatment of Psychiatric Disorders (PDF) Policy 3.01.13 (posted 4/18/18)
- Plasmapheresis, Plasma Exchange and Apheresis, Rheopheresis (PDF) Policy 8.01.04 (posted 4/18/18)
- Bone Growth Stimulators (e.g., Electrical, Osteogenic, Sonic Accelerated Fracture Healing System – SAFHS, Ultrasonic) (PDF) Policy 7.01.40 (posted 4/18/18)
- Dynamic Adjustable Braces/Joint Extension Device (e.g., Dynasplint™, EMPI Advance™, LMB Proglide™, Ultraflex™) (PDF) Policy 1.01.35 (posted 4/18/18)
- Sacroiliac Joint Fusion, IFUSE® Implant System ,SI-FIX, SImmetry® Sacroiliac Joint Fusion System, Silex™ Sacroiliac Joint Fusion System, SI-LOK® Sacroiliac Joint Fixation System (PDF) Policy 7.01.93 (posted 4/18/18)
- Photodynamic Therapy (PDT) for Malignant Disease (Photofrin, Porfimer Sodium) (PDF) Policy 8.01.06 (posted 4/18/18)
- Developmental Evaluation and Testing (PDF) Policy 2.01.54 (posted 4/18/18)
- Chiropractic Care (PDF) Policy 10.01.02 (posted 4/18/18)
- Cosmetic and Reconstructive Procedures: Acne Cysts, Actinic Keratoses, Collagen Injection, Complexion Analysis, Dermatoscopy, Drionic, Face Lift, Hairplasty, Hair Transplant, Hyperhydrosis, Iontophoresis, Labiaplasty, Liposuction, Prolaryn, Tattoos, Voice Lift, Benign Skin Lesion Removal, Skin Tag Removal, Keloid Scars, Chemical Peel, Dermabrasion, Port Wine Stains, Rosacea, Vitiligo (PDF) Policy 7.01.11 (posted 4/18/18)
- Gastric Electrical Stimulation and Gastric Pacing (PDF) Policy 7.01.64 (posted 4/18/18)
- Collagenase Clostridium Histolyticum (Xiaflex) for Fibroproliferative Disorders (PDF) Policy 5.01.15 (posted 4/18/18)
- Standing Devices and Gait Trainers, Stander (PDF) Policy 1.01.46 (posted 4/18/18)
- Enteral Formula/Nutrition, Enteral Therapy, Probiotics, Tube Feeding (PDF) Policy 10.01.03 (posted 04/18/18)
- Nutritional Therapy (PDF) Policy 8.01.18 (posted 4/18/18)
- Total Parenteral Nutrition (TPN), Intradialytic Parenteral Nutrition (IDPN), Intraperitoneal Nutrition (IPN), or Hyperalimentation (PDF) Policy 11.01.04 (posted 4/18/18)
- Gene Expression Analysis for Prostate Cancer Management: Oncotype DX® Prostate, Prolaris® (PDF) Policy 2.02.48 (posted 4/18/18)
- Genetic Assay of Tumor Tissue to Determine Prognosis of Breast Cancer (Blueprint®, OncotypeDX™, MammaPrint®, Targetprint®) (PDF) Policy 2.02.27 (posted 4/18/18)
- Genetic Testing for Susceptibility to Hereditary Cancers (PTEN, Cowden Syndrome, TP53, Li Fraumeni Syndrome, BreastNext, CancerNext, OvaNext, MyRisk Hereditary Cancer, Melaris, Prolaris, Panexia) (PDF) Policy 2.02.44 (posted 4/18/18)
- Extracranial Carotid and Vertebral Artery Angioplasty and Stents, Percutaneous Transluminal Angioplasty (PTA), Carotid Stenosis (PDF) Policy 7.01.60 (posted 4/18/18)
- Implantable Cardioverter-Defibrillator (AICD, Automatic ICD, Biventricular ICD, Dual-chamber ICD, ICD) (PDF) Policy 7.01.06 (posted 4/18/18)
- Transcatheter Closure Devices for Cardiac Defects: Amplatzer Septal Occluder, Angel Wing Device, Atrial Septal Detect Occluding System (ASDOS), CardioSEAL, HELEX, Sideris Buttoned Device (PDF) Policy 7.01.34 (posted 4/18/18)
- Transmyocardial Revascularization (TMR), Percutaneous Transmyocardial Revascularization (PTMR) (PDF) Policy 7.01.12 (posted 4/18/18)
- Home and Community Oxygen Therapy: Long Term Oxygen Therapy (LTOT), High Altitude Stimulation Test (HAST), Oxygen Concentrator, Portable Oxygen (PDF) Policy 1.01.05 (posted 4/18/18)
- Molecular Panel Testing of Cancers to Identify Targetes Therapies, Molecular Panel Testing, Targeted Therapy, Foundation One, Caris Life Sciences, OmniSeq, PyroSeq (PDF) Policy 2.02.51 (Posted 4/18/18)
- Oral Appliances for the Treatment of Sleep Related Breathing Disorders: Mandibular Repositioning Device, Nocturnal Airway Patency Appliance (NAPA), Tongue Retaining Device (PDF) Policy 1.01.07 (posted 4/18/18)
- Experimental or Investigational Services (PDF) Policy 11.01.03 (posted 4/18/18)
- External Prosthetic Devices: C-leg, Intelligent prosthesis, microprocessor-controlled lower limbs, Ossur Rheo, Vacuum-assisted-socket system (VASS) (PDF) Policy 1.01.18 (posted 4/18/18)
- Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy (e.g., CyberKnife, Gamma Knife Radiosurgery, Linear Accelerator, Linac) (PDF) Policy 6.01.12 (posted 4/18/18)
- Coronary Calcium Scoring : Electron Beam CT (EBCT), Helical CT, Spiral CT, Multidetector Row CT (MDCT), Ultrafast CT, Cardiac Calcium Scoring (PDF) Policy 6.01.13 (posted 4/18/18)
- CT (Computed Tomography) Perfusion Imaging, Dynamic Perfusion CT, Multimodal CT, Perfusion CT, Xenon-enhanced CT (XeCT) (PDF) Policy 6.01.37 (posted 4/18/18)
- Magnetic Resonance Spectroscopy (MRS) (PDF) Policy 6.01.03 (posted 4/18/18)
- Mammography: Digital Breast Tomosynthesis (PDF) Policy 6.01.22 (posted 4/18/18)
- Positron Emission Tomography (PET) Cardiac Applications (PDF) Policy #6.01.41 (posted 4/18/18)
- Positron Emission Tomography (PET) Non-Oncologic Applications (FDG PET) (PDF) Policy 6.01.07 (posted 4/18/18)
- Nuclear Breast Imaging: Breast Specific Gamma Camera, BSGI, Gammagram, Miraluma, Radioimmunoscintigraphy, Scintigraphy, Scintimammography (PDF) Policy 6.01.02 (posted 4/18/18)
- Growth Factors for Wound Healing and Other Conditions: Becaplermin, Platelet Derived Growth Factor (PDGF), Platelet Rich Plasma, Regranex (PDF) Policy 2.01.24 (posted 4/18/18)
- Endometrial Ablation: Her Option™, Hydro ThermAblator®, MEA System, Novasure™, Resectoscope, Rollerball, ThermaChoice®, Thermal Balloon Therapy (PDF) Policy 4.01.01 (posted 4/18/18)
- Obstetrical Ultrasound in the Second Trimester (PDF) Policy 6.01.42 (posted 4/18/18)
Click here to view the Blue Cross Blue Shield Excellus Medical Policy Updates »
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