Click here to view the CareFirst BCBS Blue Cross Blue Shield Medical Policy Updates »…
BCBS Excellus Medical Policy Updates – August 2018
Click here to view the Blue Cross Blue Shield Excellus Medical Policy Updates »
August 2018 Medical Policy updates:
- Artificial Cervical Intervertebral Discs (e.g., Bryan, Mobi-C, PCM [Porous Coated Motion] Cervical Disc®, Prestige®, ProDisc®, Secure-C)
- Artificial Hearts: AbioCor, CardioWest, TAH
- Artificial Lumbar Intervertebral Disc (e.g.,ActivL®,Bryan, Charité, ProDisc, )
- Autologous Chrondrocyte Implantation (e.g., Carticel®, Matrix-induced ACI, MACI, Minced cartilage, Neocartilage, Scaffold-induced ACI)
- Automated Percutaneous and Endoscopic Discectomy: Stryker DeKompressor, Nucleotome, SpineJet Hydrodiscectomy
- Cardiac Computed Tomographic Angiography (Calcium Scoring, Cardiac/Coronary CTA, Coronary Artery CTA, CT Angiography)
- Cardiac Rehabilitation
- Cognitive Rehabilitation, Attention Rehabilitation, Sensory Integration Therapy
- Cryotherapy, Cold Therapy, Ice Therapy
- Dental and Oral Care under Medical Plans: Bone Cysts, Odontogenic Cysts, Oral Surgery
- Dental Crowns and Veneers
- Dental Implants
- Dental Inlays and Onlays
- Electrical Stimulation: Transcutaneous Electrical Nerve (TENS), Percutaneous Electrical Nerve (PENS), H-Wave and Interferential Stimulators (IFS), Percutaneous Neuromodulation Therapy, Bionicare®
- Extracorporeal Shock Wave Therapy (ESWT) for Muscoloskeletal Conditions and Soft Tissue Wounds: Lithotripsy, Orthotripsy, OssaTron®, EpoUltra®, SINOCUR®, Orbasone™, Orthospec™
- Gender Reassignment Surgery: Gender Dysphoria, Gender Identity Disorder (GID), Genital Correction Surgery, Genital Reassignment Surgery, Genital Reconstruction, Gender Realignment Surgery, Gender Confirmation Surgery, Intersex, Transsexualism, Transsexual Surgery
- Genetic Testing for Inherited Disorders: Alpha-1-Antitrypsin Deficiency, ALS – Amyotrophic Lateral Sclerosis, Lou Gehrig’s Disease, Angelman Syndromes, Becker Muscular Dystrophy, CADASIL, Charcot-Marie-Tooth Huntington’s Disease, Congenital Adrenal Hyperplasia, Duchenne Muscular Dystrophy – DMD, Dystonia, Factor V, Fanconi Anemia, Fragile X syndrome, Gaucher Disease, Hemophilia A and B, Myotonic Dystrophy, Neurofibromatosis, Phenylketonuria – PKU, Prader Willi, Sickle Cell, Tay-Sachs Disease, Thalassemia
- Hip Arthroplasty
- Home Prothrombin Time Monitor (e.g., Acusure™, CoaguChek®, International Normalized Ratio [INR], Prothrombin Time [PTT], Protime, Rubicon®)
- Inflammatory Markers of Coronary Artery Disease Risk (High Sensitivity C-Reactive Protein, HS-CRP, Lipoprotein-Associated Phospholipase A2, Lp-PLA2, PLAC)
- Interspinous and Interlaminar Stabilizatio/Distraction Implants (e.g., Coflex®, Interspinous Spacer, Spinal Distraction, Superion®, X STOP)
- Intervertebral Disc Decompression: Laser (Laser Discectomy) and Radiofrequency Coblation (Disc Nucleoplasty™) Techniques
- Lumbar Decompression
- Lumbar Fusion for Adults, Degenerative Disc Disease, Disc herniation, Lumbar arthrodesis, Scoliosis, Spinal stenosis, spondylodesis, spondylosyndesis, spondylolisthesis
- Lumbar Microdiscectomy
- Magnetic Resonance Imaging (MRI) of the Breast (Breast MRI, CAD MRI)
- Magnetic Resonance Imaging Prostate/Multiparametric MRI
- Manipulation Under Anesthesia (MUA), Manipulation under Joint Anesthesia (MUJA), Manipulation Under Sedation (MUS)
- Minimally Invasive Techniques for Lumbar Interbody Fusion: Anterior Lumbar(ALIF), Axial Lumbar (AxiaLIF), Direct Lateral (DLIF), Extreme Lateral (XLIF), Laparoscopic Anterior Lumbar (LALIF), Posterior Lumbar (PLIF), Transforaminal Lumbar (TLIF)
- Obstetrical Ultrasound in the Second Trimester
- Osteochondral Grafting (Allograft, Autograft): Chondrofix®, Mosaicplasty, OATS
- Patient Lifts (e.g., Hoyer, Saralift), Seat Lift Chair Mechanisms and Ceiling Lifts
- Percutaneous Vertebroplasty, Kyphoplasty, Mechanical Vertebral Augmentation (e.g., Kyphon Inflatable Bone Tamp)
- Periodontal Maintenance
- Periodontal Scaling and Root Planing
- Prolotherapy (e.g., Sarapin)
- Radiofrequency Facet Denervation
- Shoulder Arthroplasty
- Speech/Language Pathology and Therapy (e.g., Fast ForWord, Lee Silverman Voice Therapy [LSVT-LOUD™],Vocal Cord Dysfunction, Voice Therapy
- Spinal Cord/Dorsal Column Stimulation
- Spinal Injections (Epidural and Facet Injections) for Pain Management : Medial Branch Block
- Total Hip Resurfacing, Metal-on-Metal
- Tumor Chemoresistance and Chemosensitivity Assays: Cytoprint, EDR Assay, Extreme Drug Resistance Assay, Histoculture Drug Response Assay
- Ventricular Assist Devices (VAD, LVAD)
- Wheelchairs and Power Operated Vehicles (POVs) (e.g., Scooters)
Click here to view the Blue Cross Blue Shield Excellus Medical Policy Updates »
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