BCBS Kansas City Medical Policy Updates – June 2018

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

June 2018 Medical Policy Updates:

• Adoptive Immunotherapy
• Artificial Intervertebral Disc: Lumbar Spine
• Automated Percutaneous and Percutaneous Endoscopic Discectomy
• BCR-ABL1 Testing in Chronic Myelogenous Leukemia and Acute Lymphoblastic Leukemia
• Computer-Assisted Navigation for Orthopedic Procedure
• Endoscopic Radiofrequency Ablation or Cryoablation for Barrett’s Esophagus
• Endovascular Procedures (Angioplasty and/or Stenting) for Intracranial Arterial Disease (Atherosclerosis and Aneurysms)
• Endovascular Stent Grafts for Abdominal Aortic Aneurysms
• Extracranial Carotid Artery/Stenting
• Gastric Electrical Stimulation
• Hematopoietic Cell Transplantation for Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma
• Hematopoietic Stem-Cell Transplantation for Primary Amyloidosis
• Hematopoietic Stem-Cell Transplantation for Waldenstrom Macroglobulinemia
• Implantable Infusion Pump for Pain and Spasticity
• Injectable Bulking Agents for the Treatment of Urinary and Fecal Incontinence
• Intensity-Modulated Radiotherapy (IMRT): Central Nervous System Tumors
• Intracavitary Balloon Catheter Brain Brachytherapy for Malignant Gliomas or Metastasis to the Brain)
• JAK2, MPL, and CALR Testing for Myeloproliferative Neoplasms
• Keratoprosthesis (Artificial Cornea)
• Laboratory Testing for HIV Tropism
• Laboratory Tests for Heart Transplant Rejection
• Low-Level Laser Therapy
• Lysis of Epidural Adhesions
• Mandibular/Maxillary (Orthognathic) Surgery
• Manipulation under Anesthesia
• Noninvasive Fetal RHD Genotyping Using Cell-Free Fetal DNA
• Oncologic Applications of Photodynamic Therapy, Including Barrett’s Esophagus
• Percutaneous Tibial Nerve Stimulation
• Preimplantation Genetic Testing
• Proteomic Testing for Systemic Therapy in Non-Small Cell Lung Cancer
• Subtalar Arthroereisis
• Transanal Radiofrequency Treatment of Fecal Incontinence
• Transcatheter Aortic-Valve Implantation for Aortic Stenosis
• Transcatheter Arterial Chemoembolization to Treat Primary or Metastatic Liver Malignancies
• Treatment of Varicose Veins/Venous Insufficiency
• Ultrasound Accelerated Fracture Healing Device
• Urinary Tumor Markers for Bladder Cancer
• Vagus Nerve Stimulation
• Vertebral Fracture Assessment with Densitometry

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

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