BCBS Kansas Medical Policy Updates – December 2022

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

December 2022 BCBS Kansas Medical Policy Updates:

• ACA Prevention Copay Waiver Criteria – Individual Marketplace, Commercial
• Analysis of Human DNA in Stool Samples as a Technique for Colorectal Cancer Screening
• Bone Mineral Density Studies
• Botulinum Toxin (BT)
• Diagnosis and Treatment of Sacroiliac Joint Pain
• Drug Testing in Pain Management and Substance Use Disorder Treatment
• Endoscopic Radiofrequency Ablation or Cryoablation for Barrett Esophagus
• Esketamine Nasal Spray for Depression
• Esophageal pH Monitoring
• Facet Joint Denervation
• Gene Expression Profiling and Protein Biomarkers for Prostate Cancer Management
• Genetic and Protein Biomarkers for the Diagnosis and Cancer Risk Assessment of Prostate Cancer
• Germline Genetic Testing for Hereditary Breast/Ovarian Cancer Syndrome and Other High-Risk Cancers (BRCA1, BRCA2, PALB2)
• Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric Disorders
• Laboratory Tests Post Transplant and for Heart Failure
• Measurement of Serum Antibodies to Selected Biologic Agents
• Monitored Anesthesia Care
• Noninvasive Techniques for the Evaluation and Monitoring of Patients with Chronic Liver Disease
• Positron Emission Tomography (PET) Scanning: In Oncology to Detect Early Response During Treatment
• Positron Emission Tomography (PET) Scanning: Miscellaneous (Non-cardiac, Non-Oncologic) Applications of Fluorine 18 Fluorodeoxyglucose
• Proteomic Testing for Systemic Therapy in Non-Small-Cell Lung Cancer
• Skysona (elivaldogene autotemcel)
• Sphenopalatine Ganglion Block for Headache
• Transcranial Magnetic Stimulation (TMS) as a Treatment of Depression and Other Psychiatric/Neurologic Disorders
• Zynteglo (betibeglogene autotemcel)

Click here to view the Blue Cross Blue Shield BCBS Kansas 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.

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