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BCBS Massachusetts

BCBS Massachusetts Medical Policy Updates – July 2022

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

July 2022 BCBS Massachusetts Medical Policy Updates:

Ablation Procedures for Peripheral Neuromas


AIM Genetic Testing Management Program CPT and HCPCS Codes

Ambulatory Event Monitors and Mobile Outpatient Cardiac Telemetry

Amniotic Membrane and Amniotic Fluid

Anti-Migraine Policy

Applied Behavior Analysis (ABA)

Asthma and Chronic Obstructive Pulmonary Disease Medication Management

Automated Percutaneous and Percutaneous Discectomy

Autonomic Nervous System Testing

Benign Prostatic Hyperplasia – BPH

Botulinum Toxin Injections SP

Bronchial Thermoplasty

Bronchial Valves

Catheter Ablation as Treatment for Atrial Fibrillation

Chimeric Antigen Receptor Therapy for Multiple Myeloma

Closure Devices for Patent Foramen Ovale and Atrial Septal Defects

Complementary Medicine

Continuous or Intermittent Monitoring of Glucose in Interstitial Fluid and Artificial Pancreas Device Systems

Cryoablation, Radiofrequency Ablation, and Laser Ablation for Treatment of Chronic Rhinitis

Directory of Documents

Drug Management and Prior Authorization

Electromagnetic Navigation Bronchoscopy

Electromyography and Nerve Conduction Studies

Endovascular Stent Grafts for Disorders of the Thoracic Aorta

Extracorporeal Shock Wave Treatment for Plantar Fasciitis and Other Musculoskeletal Conditions

Heart Failure Step Therapy

Home Cardiorespiratory Monitoring

Identification of Microorganisms Using Nucleic Acid Probe

Immune Modulating Drugs

Immunoglobulins Policy

Implantable Cardioverter Defibrillator

Influenza Drugs Tamiflu and Relenza

Left-Atrial Appendage Closure Devices for Stroke Prevention in Atrial Fibrillation

Low-Level Laser Therapy

Lung Volume Reduction Surgery for Severe Emphysema

Med UM Policy

Medical Benefit Prior Authorization Medication List

Medical Policy Updates

Medical Technology Assessment NonCovered Services

Medicare Advantage Management

Medicare Advantage Part B Step Therapy

Minimally Invasive and surgical treatment options for Benign Prostatic Hyperplasia

Molecular Testing in the Management of Pulmonary Nodules

Multibiomarker Disease Activity Blood Test for Rheumatoid Arthritis

Multitarget Polymerase Chain Reaction Testing for Diagnosis of Bacterial Vaginosis

Navigated Transcranial Magnetic Stimulation


Nononcologic Uses of Rituximab

Oncology Drugs

Oscillatory Devices for the Treatment of Cystic Fibrosis and Other Respiratory Conditions

Outpatient Prior Authorization Code List

Paraspinal Surface Electromyography – SEMG – to Evaluate and Monitor Back Pain

Percutaneous Electrical Nerve Field Stimulation for Functional Abdominal Pain Disorders

Percutaneous Electrical Nerve Stimulation – PENS – and Percutaneous Neuromodulation Therapy – PNT

Pharmacy Topical Ocular Hydrating Agents

Quality Care Cancer Program (Medical Oncology)

Quantitative Sensory Testing

Remote Electrical Neuromodulation for Migraines

Retail Pharmacy Prior Authorization Policy

Serological Diagnosis of Celiac Disease

Serum Biomarker Panel Testing for Systemic Lupus Erythematosus and Other Connective Tissue Diseases

Special Foods

Sublingual Immunotherapy with Allergen-specific Extracts – SLIT

Supportive Care Treatments for Patients with Cancer

Surgical and Non-surgical Treatment of Gynecomastia

Surgical Treatment of Snoring and Obstructive Sleep Apnea Syndrome

Temporomandibular Joint Disorder

Transcatheter Mitral Valve Repair

Transcatheter Pulmonary Valve Implantation

Treatment of Hyperhidrosis

Treatment of Varicose Veins and Venous Insufficiency

Tumor Markers for diagnosis and management of cancer

Wearable Cardioverter Defibrillators


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


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