BCBS Hawaii (HMSA) Medical Policy Updates – November 2022

November 2022 BCBS Hawaii (HMSA) Medical Policy Updates:

• 3D Reconstruction
• Aduhelm (Aducanumab) for Alzheimer Disease
• Bio-Engineered Skin and Soft Tissue Substitutes
• Cardiovascular Risk Panels
• Charged-Particle (Proton or Helium Ion) Radiation Therapy for Neoplastic Conditions
• Circulating Tumor DNA and Circulating Tumor Cells for Cancer Management (Liquid Biopsy)
• Circulating Tumor DNA Management of Non-Small-Cell Lung Cancer (Liquid Biopsy)
• Clinical Trials – Routine Costs
• Colorectal Cancer Screening
• Compression Garments (Gradient) for the Extremities
• Continuous Glucose Monitoring System
• Digital Breast Tomosynthesis (3D)
• Durable Medical Equipment Prosthetics and Orthotics
• Durable Medical Equipment Prosthetics and Orthotics – Small Group & Individual Plans Fed 87 and QUEST Integration
• Genetic Testing for Developmental DelayIntellectual Disability Autism Spectrum Disorder and Congenital Anomalies
• Genetic Testing for Diagnosis and Management of Mental Health Conditions
• Genetic Testing for Lynch Syndrome and Other Inherited Colon Cancer Syndrome
• Genetic Testing of Inherited Cancer Predisposition
• Genomic Profiling for Selecting Targeted Cancer Therapies
• Heart Transplant
• HeartLung Transplant
• Hip Knee and Shoulder Surgery
• Home Continuous Inotropic Infusion Therapy
• Home Health Care – Commercial
• Home Health Care – QUEST Integration
• Hyperbaric Oxygen Therapy (HBOT)
• Incontinence Supplies
• Insulin Pumps – External
• Isolated Small Bowel Transplant
• Knee Orthoses for Osteoarthritis
• Liver Transplant
• Lung and Lobar Lung Transplant
• Molecular Markers in Fine Needle Aspirates of the Thyroid
• Multigene Expression Assay for Predicting Recurrence in Colon Cancer
• Never Events and Hospital-Acquired Conditions
• Noninvasive Prenatal Testing for Fetal Aneuploidies Using Cell-Free Fetal DNA
• Oxygen and Oxygen Equipment
• Preimplantation Genetic Testing (PGT)
• Prenatal Carrier Screening for Genetic Diseases
• Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver Tumors
• Sepsis and Septic Shock (Adults)
• Services Related to COVID-19 During Public Health Emergency Declaration
• Small BowelLiver and Multivisceral Transplant
• Whole Exome and Whole Genome Sequencing for Diagnosis of Genetic Disorders
• Zevalin (Ibritumomab tiuxetan)

Click here to view the Blue Cross Blue Shield BCBS Hawaii (HMSA) Medical Policy Updates »

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