BCBS Louisiana Medical Policy Updates – April 2021

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

April 2021 BCBS Louisiana Medical Policy Updates:

• Alkindi Sprinkle hydrocortisone oral granules
• Autologous Hematopoietic Cell Transplantation for Malignant
• Balloon Dilation of the Eustachian Tube
• berotralstat Orladeyo
• Biomarker Testing Including Liquid Biopsy for Targeted
• Biventricular Pacemakers Cardiac Resynchronization Therap for the Treatment of Heart Failure
• Carospir spironolactone oral suspension
• cenegermin bkbj Oxervate
• Circulating Tumor DNA Management of Non Small Cell Lung Coding
• Computed Tomography Perfusion Imaging of the Brain
• desmopressin acetate Noctiva Nocdurna
• Diaphragmatic Phrenic Nerve Stimulation and Diaphragm Pacing Systems
• Direct Renin Inhibitors and Direct Renin Inhibitor Combination Drugs
• diroximel fumarate Vumerity and monomethyl fumarate Bafiertam
• droxidopa Northera
• Dynamic Spinal Visualization and Vertebral Motion Analysis
• Exon Skipping Therapies for Duchenne Muscular Dystrophy 2 Coding
• Extracorporeal Photopheresis
• Extracorporeal Shock Wave Treatment for Plantar Fasciitis and Other
• fostemsavir Rukobia
• Functional Endoscopic Sinus Surgery for Chronic Rhinosinusitis
• Gene Expression Profiling and Protein Biomarkers for Prostate Cancer Management
• Gene Therapy for Inherited Retinal Dystrophy
• Genetic Testing for Macular Degeneration
• Genetic Testing for Predisposition to Inherited Hypertrophic
• Gimoti metoclopramide nasal spray
• givosiran Givlaari coding
• Hemady dexamethasone
• Hematopoietic Cell Transplantation for Plasma Cell
• High Sensitivity C Reactive Protein Retired Policy
• Immune Cell Function Assay
• Immune Prophylaxis for Respiratory Syncytial Virus
• infliximab Remicade
• Intra Articular Hyaluronan Injections for Osteoarthritis of the Knee Coding
• Liver Transplant and Combined Liver Kidney Transplant
• Melanoma Vaccines
• Molecular Analysis for Targeted Therapy of Non Small Cell Coding
• Molecular Markers in Fine Needle Aspirates of the Thyroid
• Next Generation Sequencing for the Assessment of Measurable Residual
• obeticholicacid Ocaliva
• Ortikos budesonide extended release capsules 6 mg 9 mg
• Peroral Endoscopic Myotomy for Treatment of Esophageal Achalasia
• Proteomic Testing for Systemic Therapy in Non Small Cell Lung Cancer
• Select Anti Epileptic Drugs
• Select Drugs for Attention Deficit Hyperactivity Disorder ADHD
• Select Tramadol Products
• Sensipar cinacalcet
• Synthetic Cartilage Implants for Joint Pain
• Therapeutic Radiopharmaceuticals in Oncology
• Thermal Capsulorrhaphy as a Treatment of Joint Instability
• Topical Immunomodulators Elidel Protopicgenerics
• Ultrasonographic Measurement of Carotid Intimal Medial Thickness
• Whole Body Computed Tomography Scan as a Screening Test

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

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