BCBS Florida Medical Policy Updates – December 2022

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

December 2022 BCBS Florida Medical Policy Updates:

• Abortion
• Amifampridine (Firdapse®, Ruzurgi)
• Auditory and Sensory Integration Therapy
• Avacopan (Tavneos)
• Avatrombopag (Doptelet)
• Balloon Dilation of the Eustachian Tube
• Belimumab (Benlysta®) Injection
• Burosumab-twza (Crysvita®)
• Consultation Services
• Deep Brain Stimulation and Responsive Neurostimulation
• Drugs and Biologics without a Medical Coverage Guideline (Orphan Drugs and Off-Label and Labeled Use of FDA Approved Drugs)
• Elapegademase-lvlr (Revcovi) injection
• Eltrombopag (Promacta®)
• EM Service by Physicians in the Same Group Practice
• Evaluation and Management for Office and Other Outpatient Services
• Exon-Skipping Therapy for Duchenne Muscular Dystrophy
• Fostamatinib (Tavalisse)
• Hip Arthroplasty
• Hospital Inpatient or Observation Discharge Policy
• Ibandronate (Boniva®) Injection
• Ibandronate (Boniva®) Injection
• Initial Hospital Inpatient Observation
• Investigational Services
• Knee Arthroplasty
• Lumasiran (Oxlumo) injection
• Lusutrombopag (Mulpleta®) Tablet
• Microwave Tumor Ablation Other Than Liver
• Multiple Visit Reduction
• Nerve Conduction Studies; F-Wave Studies; H- Reflex Studies
• New Patient Visits
• Olaratumab (Lartruvo®)
• Olaratumab (Lartruvo®)
• Percutaneous Electrical Nerve Stimulation (PENS)
• Percutaneous Intradiscal Electrothermal Annuloplasty, Radiofrequency Annuloplasty, and Biacuplasty
• Pimavanserin (Nuplazid®)
• Pneumatic Compression Devices
• Positive Airway Pressure Devices
• Prolonged Services
• Prostate Saturation Biopsy
• Prostate Saturation Biopsy
• Pyrimethamine (Daraprim)
• Radiofrequency Ablation of Liver Tumors
• Readmissions Review Quality Program
• Romiplostim Injection (Nplate™)
• Sleep Testing
• Stereotactic Body Radiotherapy
• Surgical Treatments for Lymphedema and Lipedema
• Transurethral Waterjet Ablation of the
• Vascular Endothelial Growth Factor Inhibitors for Ocular Neovascularization

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

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