BCBS Massachusetts Medical Policy Updates – January 2023

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

January 2023 BCBS Massachusetts Medical Policy Updates:

• Aducanumab for Alzheimer Disease
• AIM Genetic Testing Management Program CPT and HCPCS Codes
• Ambulatory Event Monitors and Mobile Outpatient Cardiac Telemetry
• Amniotic Membrane and Amniotic Fluid
• Analysis of Human DNA in Stool Samples as a Technique for Colorectal Cancer Screening
• Antihyperlipidemics
• Anti-Migraine Policy
• Artificial Intervertebral Disc – Lumbar Spine
• Assisted Reproductive Services Infertility Services
• Assisted Reproductive Technology Services Form for Policy Infertility Diagnosis and Treatment
• Bioengineered Skin and Soft Tissue Substitutes
• Biofeedback as a Treatment of Chronic Pain
• Biofeedback as a Treatment of Fecal Incontinence or Constipation
• Biofeedback for Miscellaneous Indications
• Biofeedback for the Treatment of Headache
• Biomarkers for Diagnosis r Risk Assessment of Prostate Cancer
• Chromoendoscopy as an Adjunct to Colonoscopy
• Compound Medications Exclusion Drug List
• Compounded Medications
• Confocal Laser Endomicroscopy
• Continuous or Intermittent Monitoring of Glucose in Interstitial Fluid and Artificial Pancreas Device Systems
• Cranial Electrotherapy Stimulation and Auricular Electrostimulation
• Diabetes Step Therapy
• Diagnosis and Treatment of Sacroiliac Joint Pain
• Directory of Documents
• Drug Management & Retail Pharmacy Prior Authorization Policy
• Drug Testing in Pain Management and Substance Use Disorder Treatment
• Endoscopic Radiofrequency Ablation or Cryoablation for Barretts Esophagus
• Epidural Steroid Injections for Neck and Back Pain
• Esketamine Nasal Spray toTM ntravenous Ketamine for Mental Health Conditions
• Esophageal pH Monitoring
• Facet Joint Denervation
• Fecal Microbiota Transplantation
• Immune Modulating Drugs
• Implantable Bone-Conduction and Bone-Anchored Hearing Aids
• Injectable Specialty Medication Coverage
• Insulin Delivery Devices
• Intravenous Anesthetics for the Treatment of Chronic Pain
• Measurement of Serum Antibodies to Selected Biologic Agents
• Med UM Policy
• Medical and Surgical Management of Obesity including Anorexiants
• Medical Benefit Prior Authorization Medication List
• Medical Policy Updates
• Medical Technology Assessment NonCovered Services
• Medicare Advantage Management
• Medicare Advantage Part B Utilization Management
• Multiple Sclerosis Step Therapy
• Neural Therapy
• Noncovered Drug List
• Noninvasive Techniques for the Evaluation and Monitoring of Patients With Chronic Liver Disease
• Ophthalmic Prostaglandins
• Orthoptic Training for the Treatment of Vision or Learning Disabilities
• Pathogen Panel Testing
• Surgical Left Atrial Appendage Occlusion Devices for Stroke Prevention in Atrial Fibrillation
• Peroral Endoscopic Myotomy for Treatment of Esophageal Achalasia
• Phosphodiesterase Type-5 Inhibitors for Pulmonary Arterial Hypertension
• Plugs for Fistula Repair
• Prior Authorization Request Form for Esketamine Nasal Spray and Intravenous Ketamine for Mental Health Conditions
• Prolotherapy
• Proteomic Testing for Systemic Therapy in Non-Small-Cell Lung Cancer
• Quality Care Dosing Guidelines Drug List
• Retinal Prosthesis
• Sphenopalatine Ganglion Block for Headache
• Supportive Care Treatments for Patients with Cancer
• Surgical and Transesophageal Endoscopic Procedures to Treat Gastroesophageal Reflux Disease
• Transanal Endoscopic Microsurgery
• Transcutaneous Electrical Nerve Stimulation
• ZulressoTM olone he Treatment of Post-Partum Depression

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

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