BCBS Kansas City Medical Policy Updates – January 2019

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

January 2019 BCBS Kansas City Medical Policy Updates:

• Ambulatory Event Monitors and Mobile Cardiac Outpatient Telemetry
• Cardiac Hemodynamic Monitoring for the Management of Heart Failure in the Outpatient Setting
• Coronary Computed Tomography Angiography With Selective Noninvasive Fractional Flow Reserve
• Deep Brain Stimulation
• Laboratory Tests for Heart Transplant Rejection
• Miscellaneous Investigational Procedures
• Olumiant (baricitinib)
• Artificial Pancreas Device Systems
• Pneumatic Compression Pumps for Treatment of Lymphedema and Venous Ulcers
• Speech Generating Devices
• Intraoperative Fluorescence Imaging Systems
• Miscellaneous Investigational Procedures
• Miscellaneous Special Services
• Modifiers
• Actigraphy
• Assays of Genetic Expression in Tumor Tissue as a Technique to Determine Prognosis in Patients with Breast Cancer
• Biofeedback as a Treatment of Chronic Pain
• Cardiovascular Risk Panels
• Chromoendoscopy as an Adjunct to Colonoscopy
• Circulating Tumor DNA for Management of Non-Small-Cell Lung Cancer Liquid Biopsy
• Diagnosis and Medical Management of Obstructive Sleep Apnea Syndrome
• Genetic Testing BRCA1  BRCA2 Hereditary BreastOvarian Cx Syndrome Other High Risk Cancers
• Genetic and Protein Biomarkers or Diagnosis and Cancer Risk Assessment Prostate Cancer
• Genetic Testing for Lynch Syndrome and Other Inherited Colon Cancer Syndromes
• Intracellular Micronutrient Analysis
• Invasive Prenatal Fetal Diagostic Testing
• Molecular Testing in the Management of Pulmonary Nodules
• Non Contact Ultrasound Treatment for Wounds
• Non-Invasive Tests for the Detection of Fetal Membrane Rupture
• Novel Biomarkers in Risk Assessment and Management of Cardiovascular Disease
• Prolotherapy
• Quantitative Sensory Testing
• Temporomandibular Joint Dysfunction
• Microwave Tumor Ablation
• Reconstructive Breast Surgery and Management of Breast Implants
• Sphenopalatine Ganglion Block or Other Intranasal Blockage for Headache
• Allogeneic Stem Cell Transplantation for Myelodysplastic Syndromes and Myeloproliferative Neoplasms
• Electronic Brachytherapy Nonmelanoma Skin Cancer
• Hematopoietic Cell Transplantation for Epithelial Ovarian Cancer
• Hematopoietic Stem Cell Transplantation for Hodgkin Lymphoma
• Hippotherapy
• Aqueous Shunts and Stents for Glaucoma
• Intra-articular Hyaluronan Injections for Osteoarthritis
• Noninvasive Techniques for Evaluation and Monitoring of Patients With Chronic Liver Disease
• Avastin (bevacizumab)
• Clotting Factors and Coagulant Blood Products
• Spinraza (nusinersen)
• Cytochrome P450 Genotyping
• Iontophoresis and Phonophoresis as a Transdermal Technique for Drug Delivery
• Modifiers
• Human Growth Hormone (rev 1-19)
• Circulating Tumor Cells for Cancer
• Transcatheter Closure of Septal Defects
• Subtalar Arthroereisis
• Therapeutic Radiopharmaceuticals in Oncology
• Treatment of Varicose Veins/Venous Insufficiency
• Vagus Nerve Stimulation

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

Policy Alerts monitors Commercial and Medicare medical policies for changes. While medical Insurance carriers typically update medical policies annually, there are many reasons why they might review or update a policy. When reviews occur out of cycle they often go unnoticed. Policy Alerts keeps you updated when Payers make coverage changes to medical policies affecting your business.

Policy Alerts continuously monitors Commercial and Medicare Payer coverage information to keep you up-to-date on medical Insurance decisions in real-time. When changes occur, instant email alerts are delivered to your inbox. Clients have access to detailed coverage reports and medical policies through the interactive Policy Alerts Dashboard portal. Save time each month and keep focused on important Payer medical policy reviews and coverage decisions affecting your business!

Policy Alerts takes a client-focused hands-on approach and is constantly working to provide our customers with helpful insights and actionable analytics. We understand what our clients need and are dedicated to providing timely, accurate, and always up-to-date reports.

Health economic and reimbursement information provided by Policy Alerts is gathered from third-party sources and is subject to change without notice as a result of complex and frequently changing laws, regulations, rules and policies. All product and company names are trademarks™ or registered® trademarks of their respective holders. Use of them does not imply any affiliation with or endorsement by them. This information is presented for illustrative purposes only and does not constitute reimbursement or legal advice.