BCBS Kansas City Medical Policy Updates – October 2018

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

October 2018 BCBS Kansas City Medical Policy Updates:

• Adoptive Immunotherapy
• Balloon Dilation of the Eustachian Tube
• Biofeedback as a Treatment of Urinary Incontinence in Adults
• Biofeedback for Miscellaneous Indications
• Cardiac Hemodynamic Monitoring for the Management of Heart Failure in the Outpatient Setting
• Cooling Devices Used in the Outpatient Setting
• Corneal Topography / Computer-Assisted Corneal Topography/Photokeratoscopy
• Durable Medical Equipment
• Electromyography and Nerve Conduction Studies
• Enhanced External Counterpulsation (EECP)
• Hematopoietic Cell Transplantation for Acute Myeloid Leukemia
• In Vitro Chemoresistance and Chemosensitivity Assays
• Intraoperative Radiotherapy
• Multigene Expression Assay for Predicting Recurrence in Colon Cancer
• Nutrient/Nutritional Panel Testing
• Occlusion of Uterine Arteries using Transcatheter Embolization
• Panniculectomy and Abdominoplasty
• Photodynamic Therapy for Choroidal Neovascularization
• Polysomnography for Non‒Respiratory Sleep Disorders
• Prostatic Urethral Lift
• Spinal Cord and Dorsal Root Ganglion Stimulation
• Surgical Deactivation of Headache Trigger Sites
• Transcatheter Mitral Valve Repair
• Transcranial Magnetic Stimulation and Cranial Electrical Stimulation (CES) as a Treatment of Depression and Other Psychiatric/Neurologic Disorders
• Treatment of Gender Dysphoria
• Trigger Point and Tender Point Injections
• Ultrasonographic Measurement of Carotid Intimal-Medial Thickness as an Assessment of Subclinical Atherosclerosis
• Vertical Expandable Prosthetic Titanium Rib (VEPTR)

Added 10/31/2018;

• Addyi (flibanserin)
• Adjustable Cranial Orthoses for Positional Plagiocephaly and Craniosynostoses
• Alunbrig  (brigatinib)
• Artificial Intervertebral Disc of the Cervical Spine
• Blincyto (blinatumomab)
• Braftovi (encorafenib)
• Brineura (cerliponase alfa)
• Buprenorphine Implant for Treatment of Opioid Dependence
• Charged Particle Proton or Helium Ion Radiation Therapy
• Chemical Peels
• Circulating Tumor Cells for Cancer
• Circulating Tumor DNA for Management of Non-Small-Cell Lung Cancer Liquid Biopsy
• Compounded Medications
• Contraceptives
• Crysvita (burosumab-twza)
• Decompression of the Intervertebral Disc Using Laser Energy or Radiofrequency Coblation
• Doptelet (avatrombopag)
• Electrostimulation and Electromagnetic Therapy for Treating Wounds
• Endothelial Keratoplasty
• Endovascular Procedures for Intracranial Arterial Disease
• Esophageal pH Monitoring
• Exondys 51 (eteplirsen) injection
• Eyelid Thermal Pulsation
• Formulary Non-Covered Drugs
• Genetic Testing for Alzheimer Disease
• Genetic Testing for Cardiac Ion Channelopathies
• Human Growth Hormone
• Hyperbaric Oxygen Therapy
• Identification of Microorganisms Using Nucleic Acid Probes
• IMFINZI (durvalumab)
• Implantable Cardioverter Defibrillator
• Implantation of Intrastromal Corneal Ring Segments
• Influenza Therapies
• Intensity Modulated Radiotherapy Head Neck Thyroid Brain Cancers
• Interventions for Progressive Scoliosis
• Intravitreal Corticosteroid Implants
• Iontophoresis and Phonophoresis as a Transdermal Technique for Drug Delivery
• Jetrea (ocriplasmin) Symptomatic Vitreomacular Adhesion
• Laser Treatment of Onychomycosis
• Lung and Lobar Lung Transplant
• Magnetic Esophageal sphincter Augmentation to Treat Gastroesophageal Reflux Disease GERD
• Mektovi (binimetinib)
• Minocycline Extended Release
• Miscellaneous Investigational Procedures
• Modifiers
• Ofev (nintedanib capsules)
• Olumiant (baricitinib)
• Opdivo (nivolumab)
• Ovarian and Internal Iliac Vein Embolization as a Treatment of Pelvic Congestion Syndrome
• Palynziq (pegvaliase-pqpz)
• Patient Specific Instrumentation for Joint Arthroplasty
• Percutaneous Tibial Nerve Stimulation
• Percutaneous Vertebroplasty and Sacroplasty
• Radioactive Seed Localization of Nonpalpable Breast Lesions
• Radiofrequency Ablation Renal Sympathetic Nerves for Resistant Hypertension
• Robotics in Surgery
• Rydapt (midostaurin)
• Small Bowel Liver and Multivisceral Transplant
• Stereotactic Radiosurgery and Stereotactic Body Radiotherapy
• Surgical Treatment of Femoroacetabular Impingement
• Thermography and Temperature Gradient Studies
• Tibsovo (ivosidenib)
• Topical Alpha-Adrenergic Agents for Rosacea
• Transcatheter Closure of Septal Defects
• Trigger Point and Tender Point Injections
• Vertebral Axial Decompression
• Yonsa (abiraterone acetate)

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

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