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BCBS Kansas City Medical Policy Updates – May 2019
Click here to view the Blue Cross Blue Shield Kansas City Medical Policy Updates »
May 2019 BCBS Kansas City Medical Policy Updates:
Ampyra (dalfampridine) rev 052019
Intravenous Anesthetics for the Treatment of Chronic Pain
Mepsevii (vestronidase-aslfa-vjbk)
Nononcologic Uses of Rituxan (rituximab)
Rebinyn (factor IX (recombinant[glycopegylated]))
Symdeko (tezacaftor-ivacaftor)
Custom Compounded Hormone Replacement Therapy
Electric or Power Wheelchairs and Scooters2
Home Cardiorespiratory Monitoring
Bone Turnover Markers for the Diagnosis and Management of Osteoporosis High Bone Turnover
Circulating Tumor Cells for Cancer
Gene Expression Based Assays for Cancers of Unknown Primary
Genetic Testing for the Developmental Delay Intellectual Disability Austism Spectrum Disorder
Identification of Microorganisms Using Nucleic Acid Probes
Ingestible pH and Pressure Capsule
KRAS NRAS and BRAF Variant Analysis in Metastatic Colorectal Cancer
Laser Treatment of Onychomycosis
Therapy for Psoriasis and Eczema
Multianalyte Assays with Algorithmic Analyses for Predicting Risk of Type 2 Diabetes
Non Pharmacologic Treatment of Rosacea
Orthopedic Applications of Platelet Rich Plasma
Serum Biomarker Human Epididymis Protein 4
Artificial Intervertebral Disc of the Cervical Spine
Cryosurgical Ablation of Primary or Metastatic Liver Tumors
Image-Guided Minimally Invasive Decompression for Spinal Stenosis
Intraoperative Neurophysiologic Monitoring
Percutaneous Tibial Nerve Stimulation
Periureteral Bulking Agents as a Treatment of Vesicoureteral Reflux
Radiofrequency Ablation Renal Sympathetic Nerves for Resistant Hypertension
Transmyocardial Revascularization
Intensity Modulated Radiotherapy of the Prostate
Corneal Collagen Cross Linking
Testosterone Replacement Therapies rev05-2019
Behavioral Health Medical Necessity Critera
Cardiac Rhythm Implantable Device CRID Imaging
Pediatric Musculoskeletal MSK Imaging
Pediatric Peripheral Nerve Disorders PND Imaging
Pediatric Peripheral Vascular Disease PVD Imaging
Peripheral Nerve Disorder PND Imaging
Peripheral Vascular Disease PVD Imaging
Rebinyn (factor IX (recombinant[glycopegylated])
Repetitive Transcranial Magnetic Stimulation rTMS for Treatment of Major Depression
Click here to view the Blue Cross Blue Shield Kansas City Medical Policy Updates »
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