BCBS Massachusetts Medical Policy Updates – June 2021

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

June 2021 BCBS Massachusetts Medical Policy Updates:

• Artificial Intervertebral Disc – Cervical Spine
• Artificial Intervertebral Disc – Lumbar Spine
• Assisted Reproductive Services Infertility Services
• Autografts and Allografts in the Treatment of Focal Articular Cartilage Lesions
• Autologous Chondrocyte Implantation for Focal Articular Cartilage Lesions
• Axial Lumbosacral Interbody Fusion
• Bioengineered Skin and Soft Tissue Substitutes
• Bone Morphogenetic Protein
• Bronchial Valves
• Bronchial Valves
• Cochlear Implant
• Decompression of the Intervertebral Disc Using Laser Energy – or Radiofrequency Coblation – Nucleoplasty
• Deep Brain Stimulation
• Directory of Documents
• Drug Management and Prior Authorization
• Dry Needling and Trigger Point Injections for Myofascial Pain
• Electrical Bone Growth Stimulation of the Appendicular Skeleton
• Electrical Stimulation of the Spine as an Adjunct to Spinal Fusion Procedures
• Endovascular Procedures for Intracranial Arterial Disease – Atherosclerosis and Aneurysms
• Facet Arthroplasty
• Gender Affirming Services ender Services
• Hip Resurfacing
• Image-Guided Minimally Invasive Decompression for Spinal Stenosis
• Injections for Osteroarthritis
• Interspinous and Interlaminar Stabilization-Distraction Devices – Spacers
• Interspinous Fixation – Fusion Devices
• Intraoperative Neurophysiologic Monitoring y-Evoked Potentials -Evoked Potentials onitoring
• Intravenous Antibiotic Therapy and Associated Diagnostic Testing for Lyme Disease
• Manipulation under Anesthesia
• Medical Policy Updates
• Medical Technology Assessment NonCovered Services
• Medicare Advantage Management
• Meniscal Allografts and Other Meniscal Implants
• Minimally Invasive and surgical treatment options for Benign Prostatic Hyperplasia
• Nerve Graft in Association with Radical Prostatectomy
• Occipital Nerve Stimulation
• Orthopedic Applications of Platelet-Rich Plasma
• Orthotics for Progressive Scoliosis
• Patient-Specific Instrumentation Cutting Guides oint Arthroplasty
• Percutaneous Balloon Kyphoplasty frequency Kyphoplasty and Mechanical Vertebral Augmentation
• Percutaneous Intradiscal Electrothermal Annuloplasty frequency Annuloplasty iacuplasty
• Percutaneous Vertebroplasty and Sacroplasty
• Peripheral Subcutaneous Field Stimulation
• Quality Care Cancer Program (Medical Oncology)
• Quality Care Cancer Program (Medical Oncology)
• Quality Care Cancer Program (Radiation Oncology)
• Quality Care Cancer Program (Radiation Oncology) CPT and HCPCS Codes
• Quality Care Cancer Program (Radiation Oncology) CPT and HCPCS Codes
• Responsive Neurostimulation for the Treatment of Refractory Focal Epilepsy
• Sacral Nerve Neuromodulation-Stimulation
• Spinal Cord and Dorsal Root Ganglion Stimulation
• Subtalar Arthroereisis
• Supportive Care Treatments for Patients with Cancer
• Supportive Care Treatments for Patients with Cancer
• Vertebral Axial Decompression
• Vertical Expandable Prosthetic Titanium Rib

Additional June Updates:

• Ambulatory Event Monitors and Mobile Outpatient Cardiac Telemetry
• Baroreflex Stimulation Devices
• Biventricular Pacemakers – Cardiac Resynchronization Therapy for the Treatment of Heart Failure
• Bronchial Valves
• Cardiac Hemodynamic Monitoring for the Management of Heart Failure in the Outpatient Setting
• Catheter Ablation as Treatment for Atrial Fibrillation
• Closure Devices for Patent Foramen Ovale and Atrial Septal Defects
• Endovascular Grafts for Abdominal Aortic Aneurysms
• Endovascular Stent Grafts for Disorders of the Thoracic Aorta
• Endovascular Therapies for Extracranial Vertebral Artery Disease
• Enhanced External Counterpulsation – EECP – for Chronic Stable Angina or Congestive Heart Failure
• Extracorporeal Membrane Oxygenation
• Implantable Cardioverter Defibrillator
• Injectable Specialty Medication Coverage
• Leadless Cardiac Pacemakers
• Left-Atrial Appendage Closure Devices for Stroke Prevention in Atrial Fibrillation
• Medical Policy Updates
• Medical Technology Assessment NonCovered Services
• Medicare Advantage Management
• Minimally Invasive and surgical treatment options for Benign Prostatic Hyperplasia
• Molecular Testing in the Management of Pulmonary Nodules
• Myocardial Strain Imaging
• Negative Pressure Wound Therapy in the Outpatient Setting
• Open and Thoracoscopic Approaches to Treat Atrial Fibrillation – Maze and Related Procedures
• Outpatient Prior Authorization Code List
• Chimeric Antigen Receptor Therapy for Multiple Myeloma
• #VALUE!
• Phrenic Nerve Stimulation for Central Sleep Apnea
• Progenitor Cell Therapy for the Treatment of Damaged Myocardium Due to Ischemia
• Quality Care Cancer Program (Medical Oncology)
• Supportive Care Treatments for Patients with Cancer
• Transcatheter Mitral Valve Repair
• Treatment of Varicose Veins and Venous Insufficiency
• Ultrasonographic Measurement of Carotid Intima-Medial Thickness as an Assessment of Subclinical Atherosclerosis
• Wearable Cardioverter Defibrillators

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

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